Charlie Locks Consultation Cryo Solihull

Name(Required)
Address(Required)
Do you have any of the following?(Required)
How would you best describe your skin type?(Required)
Do you have a history of acne?(Required)
Do you use Retin A? Please note this ingredient is also present in some creams and moisturisers too - This ingredient is contra indicated for facials so we are unable to provide this service.(Required)
Have you ever used Accutane? Please note this ingredient is also present in some creams and moisturisers too? This ingredient is contra indicated for facials so we are unable to provide this service.(Required)
Do you use Glycolic Acid products? Please note this ingredient is also present in some creams and moisturisers too? This ingredient is contra indicated for facials so we are unable to provide this service.(Required)
Have you ever had an acid peel? You must not have this treatment until 4 weeks after your peel.(Required)
Are you claustrophobic?(Required)
Do you wear contact lenses? Please note these will need to be removed prior to your treatment(Required)
Do you sunbathe or use tanning beds? Please be aware if you have any tan on your face this will be removed by the products we use(Required)
Are you pregnant or could be pregnant? If so we can not carry out this treatment due to products used and for insurance purposes(Required)
Please note our cancellation policy is 48 hours - less than 48 hours full cost of the appointment will be charged(Required)
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