CONTOURS BEAUTY INK — Chemical Peel Intake and Consent. Please complete all questions before treatment. Your answers help us assess whether a superficial cosmetic peel is appropriate. A Yes answer may require further review, postponement, or referral; it does not automatically mean you cannot receive treatment. Your practitioner will review your answers and confirm the selected peel, treatment area, recovery, and fees before treatment.
Have you developed dark or light marks after irritation or a procedure?*
Do you have a history of keloids, raised scars, or slow wound healing?*
Do you have cold sores, fever blisters, or herpes in the treatment area?*
Do you currently have sunburn, broken skin, a rash, infection, or open sores?*
Do you have eczema, dermatitis, psoriasis, rosacea, or very inflamed acne?*
