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Sign In
My Account
Cart
0
about
SERVICES
Facials
Hands & feet
Massage & Body Treatments
Waxing/Threading/Tinting
spa packages
Kids Spa
Make-Up
SHOP
Buy Services
Footlogix
Promotions
GIFT CARDS
book online
Harbour Landing
Hotel Sask
Greens on Gardiner
Delta Hotel
ONLINE BOOKING POLICY
SPA POLICY
skincare consultation form
Name
*
First Name
Last Name
Phone (Cell)
*
What is your skin type? Select all that apply
Dry
Oily
Normal
Combination
Sensitive
What are your skin care concerns and/or what would you like to prevent: Select all that apply
Aging
Uneven tone / Hyperpigmentation
Acne / Breakout
Sensitive
When was your last facial treatment?
What is your skincare routine at home? Select all that apply
Cleanse
Exfoliate
Moisturize
Masque
Eye care
SPF protection
Do you prefer a gentle or active exfoliant? Select one
Active
Gentle
Please list any medications, skin care supplements or any treatments that could make your skin moresensitive / reactive (eg. Retin-A, AccuTane, chemical peel, laser hair removal, etc.)
Informed Consent.Print your initials below to acknowledge the consent
*
By signing this form, I consent to treatment and intend this consent to cover the treatment discussed with me and such additional treatment as proposed by my esthetician. I acknowledge that no assurance or guarantee has been provided to me as to the results of the treatment. I understand that at any time I may withdraw my consent and treatment will stop.I am aware of the 24-hour cancelation policy, If I fail to give 24-hour notice prior to my appointment, 50% of my service(s) will be charged on my credit card.I agree to be contacted periodically with special offers or services.
Thank you!
