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How to use or fill out Intake Form Chemical Peels, Microdermabrasion, and Facials

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Click ‘Get Form’ to open it in the editor.
Begin by entering your name, today’s date, and contact information in the designated fields. Ensure accuracy for effective communication.
Fill out your medical history section carefully. Indicate any allergies or medications you are currently taking, as this is crucial for your safety during treatments.
In the skin care history section, list any products that irritate your skin and note recent sun exposure. This helps tailor treatments to your specific needs.
Review the concerns and interests section. Check all applicable boxes regarding your skin concerns and prior treatments to inform your clinician effectively.
Finally, sign and date the form at the bottom to acknowledge understanding of practice policies before submitting it through our platform.

Start filling out your Intake Form today for a seamless experience with our editor!

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What should be on a facial intake form?

Estheticians must know their clients medical history to ensure safe and effective treatments. So, you want to collect info on allergies, skin conditions, medications, or surgeries, which can help avoid treatment complications and personalize care.

Should you do a chemical peel or microdermabrasion first?

This signature treatment is best for those looking to get the glow back to their skin and is the best maintenance facial for those in their 30s and 40s. It is also great for acne-prone and oily skin types. Microdermabrasion is performed first and then the chemical peel best for your skin is applied to the skin.

What license do you need to perform chemical peels?

In many states, your esthetician license will allow you to perform only light AHA and BHA chemical peels. For example, California estheticians are prohibited from removing tissue beyond the epidermal layer of skin. In other words, they are limited to performing only light peels.

Can you combine microdermabrasion and chemical peels?

One of the most often recommended combinations was for patients to combine microdermabrasion and chemical peels to receive the optimal results from both procedures. In time, this combination of treatments has become its own unique cosmetic dermatology service called a micropeel.

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