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Chemical Peel Form

"*" indicates required fields

Please Check the Conditions You Have
Do you have any of the following?
Are you taking any prescribed medication for acne such Isotretinoin?
Are you using any topical skin preparations such as Steroid Cream, Retin A,Topical Antibiotic?
Are you pregnant or currently breastfeeding?
Please check if you have had any of the following in the last 2 months
Have you had any Of the following procedures In the last 48 hours?
I understand that I must inform Ombré Studio Sydney of any changes to my medical history*