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 Advanced Chemical Peel Health History intake

SKIN TYPE: Review the skin types below, using the Fitzpatrick Scale, and check the one that best describes your skin. This information will be used by your technician to determine the most appropriate way to approach your treatment(s):
Are you of Asian heritage (Class V) and/or have a history of keloid scarring?
Do you use sunless tanning products?
Do you have hyperpigmentation (darkening of the skin) or hypopigmentation (lightening of the skin) or marks after physical trauma?
Have you had chemical peel treatments in the past?
Have you consumed drugs or alcohol in the last 24 hours?
Are you currently using, or have you used in the past year, any of the following?
Have you had any facial cosmetic surgeries/procedures, piercings, metal implants, tattoos, or use of a pacemaker within the past year?
Have you had any laser resurfacing treatments in the past six weeks?

Thanks for submitting!

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