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ONLINE TREATMENT PLAN

To book your 'Online Personal Treatment Plan' please complete the form below.
Products & Treatments will be advised to suit your individual skin concerns.
(Treatment Plans cost £15.00 which is fully redeemable against any 'RegimA' product purchased through SkinFit).

Consultation Form

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Please give as much detail where possible to help us advise.

You will receive your Personal Treatment Plan within 48hrs of us receiving your completed form.

Personal Details:

Skin Description (Type, Colour & Characteristics):

Please tick where appropriate

Type:

Breakouts:

Sensitivity:

Skin History

Please tick where appropriate

Prone:

Treatments (Past & Present)

Current skincare regime?

General Health

Please tick where appropriate

Concerns, Expectations & Additional Information

Declaration

By ticking the box below, I acknowledge that the above information is correct and I am aware that no warranty or guarantee is given regarding the result of any treatment or the products used in such treatment.

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