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Your Details
Your Doctor's Details
GDPR Consent
Consultation questions
Currently, are you:
Undergoing medical treatment
Taking any over the counter/prescription medication or herbal/natural remedies on a regular basis.
A smoker?
Do you:
Have any known allergies including topical anaesthetics, nuts and/or metals?
Regularly tan in the sun/use a sunbed?
Suffer from cold sores?
Have claustraphobia?
Have epilepsy?
Or have you had reactions to facial treatments or products?
Skin questions
What are your main skin concerns? Tick all that apply.
How would you describe your skin?
How would you describe your stress levels?
What skincare products are you currently using?
Consent Agreement
I give my consent for the following treatment, Dermaplaning, to be performed by AA BEAUTY. I consent that I am over the age of 18.
I understand the treatment procedure and benefits of it. I understand there are reasons I cannot have this treatment performed on me, including but not limited to diabetes, cancer, active acne, a history of bleeding disorders and the innability for blood to coagulate following an injury and sunburnt/windburnt skin, therefore I have disclosed everything in this form.
I understand that certain medications such as blood thinners, higher doses of aspirin and (ro)Accutane/isotretonoin are contraindicated for this treatment due to the possibility of nicks and cuts. I certify that I am not taking any of these medications or experiencing any of the above conditions.
I understand this treatment involves the use of a sterile, surgical blade to remove dead skin cells and vellus hair. As with the use of any sharp instrument there is a possibility of nicks and cuts however while every precaution is taken, I understand the risks.
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