Introduction
We are so excited to get you started on your skin journey!
At MediGlow, we are skin experts and like to look at your skin issues from a holistic perspective. We look at factors such as your current skincare routine, diet, stress levels, and water intake as they can have an enormous effect on the skin!
Prior to your consultation we need an honest and comprehensive impression of your skin and as such need to gather some information from you.
We ask that you fill out and return this pre- consultation form a week prior to your appointment
Please ensure the information provided is as recent and up to date as possible
We also ask that you take a clear, non-pixelated, bright, front – facing photo and photos of both sides of your face to allow us to assess your skin concerns visually.
If you are under the age of 16 (the age of digital consent) we ask that your parent or guardian sign this form on your behalf and if under the age of 18 we ask that you have a parent or guardian present when you sign and also during your consultation.
