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(236) 788-6878

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Celebrate our launch with 10% off most services! Experience trending Korean skin treatment facials at The Beauty Drip Studio and discover the ultimate in Korean beauty innovation. Limited-time offer – book your treatment today.

(236) 788-6878

Facial Care Session

Korean skin treatments | The Beauty Drip Studio

CLINICAL RECORD CHART

Please fill out all required information below.

Birthday
Year
Month
Day
Multi-line address
Are you over the age of 18 ?
Yes
No
How did you hear about us ?
Walk-in
Website
Social Media
Friend
Other

HEALTH CONDITIONS

Please check any applicable boxes and provide additional details where necessary

MEDICATIONS AND SUPPLEMENTS

Are you currently taking any medications (Prescription or over the counter), supplements or vitamin?
No
Yes

RECENT TREATMENT OR PROCEDURES

Please check any applicable boxes and provide additional details where necessary

SKIN SENSITIVITIES OR ALLERGIES

Do you have known reactions to skincare products, ingredients, or treatments ?

CURRENT SKIN CONCERNS

Check all that apply ?

SKIN TYPE

If known
How does your skin typically feel throughout the day ?

CURRENT SKINCARE ROUTINE

Multi choice

SKIN GOALS



CLINICAL OBSERVATION

&

SKIN ANALYSIS

Skin condition Present:

Multi choice
Texture:
Tone:
Pores
Sensitivity
Pigmentation
Oiliness

Recommended Treatment Strategy

Multi choice

Suggested Treatment Frequency

Multi choice

Homecare Prescription Plan









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