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Request a skin consult
jflowerbeauty@gmail.com
Brampton, CA
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Mini Consultation
Fill out our mini consultation form!
Name
Phone
Email
What type of skin do you have?
Do you wear SPF? If so, what level?
Do you have allergies? If yes please state below.
What are your main skin concerns?
What products are you currently using?
Have you booked an appointment? If so, what date?
Are you on accutane or pregnant?
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Required
Accutane
Pregnant
None of the above
Having a medical grade skin care routine is an extremely important step in achieving, maintaining and improving your skins results. Are you interested in receiving a personalized home skincare routine? (You will recieve a discount on your order when booking a facial service with us)
*
Required
Yes
No
Upload Right Side of Face
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Upload Centre of Face
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Upload Left Side of Face
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When was your last facial and what type of facial was it (to your best knowledge)
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