Angel’s Define Beauty – Client FormAngel's Define Beauty - Client FormFirst NameLast NameBirthdayContact NumberWhatsapp NumberAddressHouse No., Block No.#, Lot No., Street:Unit, Floor, Building / Subd.:CityStateEmergency Contact NameEmergency Contact NumberPreferred Method of Communication Whatsapp Call TextSkincare TreatmentsPlease answer the following questions:Facial Treatments Classic Facial = 100 AED Deep Facial = 130 AED Signature Facial = 150 AEDMicroneedling Korean Glowing Skin = 180 AED Korean BB Glow = 180 AED Korean BB Glow w/ Skin Booster = 230 AED Korean Glass Skin - Mesotherapy = 270 AED MelaWhite Clear = 500 AED MelaWhite Maintenance = 400 AEDBody TreatmentsPlease answer the following questions:Underarm Treatment Whitening & Chicken Skin Armpit = 120 AEDFat Dissolving - Lemon Bottle Double Chin (5ml) = 160 AED Any part (Face or Body 10ml) = 230 AEDSlimming - Radiofrequency 448kHz Tecar Treatment RF - Face & Arms = 150 AED RF - Tummy or Legs = 180 AED RF - Whole Body (45 mins) = 230 AEDBody TreatmentsPlease answer the following questions:Glowing Skin Glutathione Cindella with Free Placenta = 170 AED Glutax Zakura = 150 AED Glutax 5Gs = 120 AEDAdd Ons: Glowing Skin Glutathione Placenta = 30 AED Collagen + Vit. C = 40 AED Vitamin C = 30 AEDWarts Removal Face & Neck (unlimited- flat warts) = 160 AED ADDITIONAL PER AREA Chest or Arms = 80 AED Back = 90 AEDRequired assessment- Starting Price Stag warts = 200 AED Combi- Flat & Stag Warts = 200AEDSkin PeelingPER AREA Face, Elbow, Knee = 180 AED Chest, Half Arm Sleeve, Half Leg = 250 AED Back, Full leg, Full arm = 350 AEDAngel's Beauty PackagePlease answer the following questions:300 AED - Choose 5 Services Classic Facial Deep Facial - Anti Acne LED Mask Warts Removal (Neck) Diamond Peel Underarm Whitening Bleaching (Face) Face Lifting RF Face & Chin RF ArmsAdd-ons: 10ml Fat Dissolving = 190 AED RF Tummy or Treated Area = 150 AED370 AED - Choose 3 Services 10ml Fat Dissolving - 1time only Face Lifting RF Face & Chin RF Neck RF Tummy Classic Facial Deep Facial - Acne Signature Facial Warts Removal (Face)DUO KOREAN TREAT 1+1 Korean Glowing Skin = 230 AED Korean BB Glow = 230 AED Korean BB Glow with Skin Booster = 270 AEDChoose Your Treatments RF Face RF Neck Diamond Peel Bleaching (Face) Classic Facial Galvanic Serum InfusionHealth ChecklistPlease answer the following questions:1. Medical History: Do you have any chronic medical conditions? (e.g., diabetes, hypertension) Yes No If yes, please specify: 2. Medications: Are you currently taking any medications (including supplements and over-the-counter)? Yes NoIf yes, please list: 3. Allergies: Do you have any known allergies (e.g., medications, latex, skincare products)? Yes NoIf yes, please list:4. Skin Concerns: Do you have any existing skin conditions? (e.g., eczema, rosacea, acne) Yes No If yes, please describe:5. Previous Treatments: Have you had any aesthetic treatments or procedures in the last 6 months? Yes NoIf yes, please specify:6. Pregnancy and Breastfeeding: Are you currently pregnant or breastfeeding? Yes No7. Menstrual Cycle (for female clients): Are you currently menstruating? Yes NoStart Date of Last Menstrual Period:Expected Duration (in days)8. Recent Surgeries or Medical Procedures: Have you had any surgeries or medical procedures in the last year? Yes NoIf yes, please provide details: 9. Skin Sensitivity: Do you have a history of skin sensitivity or reactions to products or treatments? Yes No If yes, please explain: 10. Lifestyle Factors: Do you smoke or use tobacco products? Yes NoDo you consume alcohol? Yes No11. Medical Advice: Have you been advised by a healthcare professional to avoid any aesthetic treatments? Yes NoIf yes, please explain: Acknowledgment I acknowledge that the information provided is accurate and complete to the best of my knowledge. I understand that this information is essential for my safety and the effectiveness of the treatments.Terms and Condition I have read, understood and agree to abide by the terms and conditions. I acknowledge that providing accurate and complete information is essential for my safety and the effectiveness of the treatments.Submit Form
