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

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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