1. Client Details
2. Main Skin Concerns
3. Triggers & Lifestyle Factors
Do you notice flare-ups linked to:
Describe your typical:
4. Health History
5. Medications & Supplements
6. Current Skincare Routine
Morning routine:
Evening routine:
7. Sun Exposure & Protection
8. Previous Treatments
9. Holistic Factors
10. Aesthetic Interests & Goals
(Helps guide future treatment planning)
11. Expectations & Commitment
12. Additional Notes
Therapist Notes (For You)
