SKIN CONDITION/ CHIEF COMPLAINTS
  • The following questions are necessary so that I can better understand the variety of factors that may be affecting your skin condition (not your skin type.) Plus, there are certain medical conditions that will either be contraindications to a treatment or will require extra special care during the treatment. Mile High City Glam adheres to a strict code of client confidentiality, which requires that I do not divulge any of the information on this form to anyone else.
Fill out the form:

  • Yes No
  • Yes No
  • Yes No
  • Yes No
  • Yes No
  • What kind of foods do you eat on a regular basis? Do you eat a lot of:
  • Yes No
  • Yes No
  • Yes No

Contact



"I believe that health, happiness, and beauty go hand in hand. Go ahead. Spoil yourself. You deserve it!"

Andera2




facebook-square FACEBOOK PAGE
© Mile High City Glam • 619-335-3040 Contact Me