Do you have any allergies? (If yes, please list below)

Have you ever taken Accutane? (If so, when?)

Have you had a peel or used any exfoliants within the last 48 hours?

Have you waxed, threaded or used hair removal creams within the last 48 hours?

Do you use sunscreen on a daily basis?

Are you currently pregnant or lactating?

Please choose which best describes your relationship with your skin:

Are you under the age of 18? If so please have a parent or guardian fill out the remainder of this form to give us permission to receive skincare services at The Oasis Facebar.

By submitting this form, I confirm that the answers above are correct and I have not withheld any information that may be relevant to my treatments at The Oasis Facebar