ONLINE TREATMENT PLAN

To book your 'Online Personal Treatment Plan' please complete the form below.

Products & Treatments will be prescribed to suit your individual skin concerns.

(Treatment Plans cost £25.00 which is fully redeemable against any 'RegimA' product purchased through SkinFit).

Consultation 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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