CLIENT CONSULTATION CARD
Female Clients Only
Male Clients Only
Questions To discuss Every Visit
I confirm (to the best of my knowledge) that the answers I have given are correct and that I have not withheld any information that may be relevant to my treatment. AGREE
This consultation card is used to evaluate your individual skin care needs. We will maintain the confidentiality of this information, and will disclose this information only: (1) to our staff members, (2) to quality assurance and quality control personnel, (3) to our product supplier and manufacturer. We will not provide this information to anyone else, except as required by law, and we will not sell this information to anyone. We may, however, contact you with product-related information.
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Your legal name
Your email address
If you have questions about the contents of this document, you can email the document owner.
Document Name: CLIENT CONSULTATION CARD
Agree & Sign