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Fisrt name
Last name
Email
Gender
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Male
Female
Address
Postal Code
Contact Number
Name of next of kin (Full Name)
Next of kin contact number
Occupation (Optional)
Location*
London
Do you have any allergies? (Please type below)
Do you currently receiving any medical treatment?*
Yes
No
Are you taking any over the counter medications or vitamins
Please select
Yes
No
Have you had Botox or fillers on the area being treated?
Please select
Yes
No
Have you got any tattoos or permanent make up anywhere on body
Please select
Yes
No
Are you pregnant/breastfeeding?
please select
Yes
No
Have you taken Roaccutane in the last 6 months?
Please select
Yes
No
Do you suffer from cold sores or herpes simplex
Please Select
Yes
No
Is there anything you think we need to be made aware of before commencing with your treatment? Please let us know below.
Which of the following do you use in your daily skin care regime?
CLEANSER
TONER
MOISTURISER
SERUMS
SPF
EXFOLIANTS
How often do you go for facials/beauty treatments?
What type of skin do you think you have?
Sensitive
Dry
Oily
Combination
Acne Prone
What are your main skin concerns?*
Scaring
Acne
Dry Skin
Blackheads
Pigmentation
Do you have any of the following ? Please tick all appropriate
Hyperpigmentation
Eczema
Psoriasis
Vitiligo
Moles
Hormonal Issues
None of the abov
Before Treatment avoid the sun 2 weeks before and after treatment.You MUST avoid bleaching, plucking or waxing hair for 4 weeks prior to treatment.Do not use Depilatory creams 2 week prior to treatment.If have had a history of cold sores, zovirax may be used prior to treatment and continued one week after treatment.The use of tanning cream must be discontinued two week before treatment.Please shave the area being treated either on the day or the night before having the treatment done.
During Treatment* The skin is cleaned.When treating the upper lip, the teeth may be protected with gauze. The gauze also serves to support the lip during treatment, allowing a surface to push against.Skin color can compete as a target for the 810 nm wavelength with melanin in the hair. The cooling tip will be used with the laser to minimize skin damage.Safety considerations are important during the laser procedure. The client and the operator will wear protective eyewear during the procedure.
Aftercare* Immediately after treatment, there may be redness and swelling at the treatment area, this may feel like mild sunburn.The application of iced water during the first few hours after treatment will reduce any discomfort.The application of aloe vera gel can continue at home.Makeup may be used immediately after the treatment unless there is epidermal blistering. Avoid sun exposure for 2 weeks to reduce the chance of hyperpigmentation or darker pigmentation. Use sunscreen SPF 30 or greater at all times throughout the course treatment.Avoid picking or scratching the treated skin. Do not use any other hair removal treatment methods (waxing, electrolysis or tweezing) that will disturb the hair follicle at the treatment area, shaving is the only method of hair removal until laser treatment is finished.Hair regrowth occurs at different rates on different areas of the body. New hair growth will not occur for AT LEAST three weeks after treatment.Anywhere from 5-19 days after the treatment, shedding of the surface hair may occur and this appears as new hair growth. This is NOT new hair growth. You can clean and remove the hair by washing or wiping the area with a wet cloth or Loofah sponge.After the underarms are treated, use a powder, instead of deodorant, for 24 hours after the treatment to reduce skin irritation. Avoid hot baths and heat treatments and treat the skin gently, as if you had sunburn, for the first 24 hours.
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