skin care, facial treatments, esthetic services, thermocoagulation, cantik ethetics skin care, surrey
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Welcome to Cantik Esthetics Skin Care-Intake Form

Please take a few moments to share your skin concerns — this important first step helps us create the best treatment plan for you. Your consultation allows us to understand your goals, answer any questions, and ensure every treatment is safe, precise, and results-driven.

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New Client Intake Form

This intake form helps us understand your skin concerns and determine the most appropriate treatment prior to your appointment at Cantik Esthetics.

Primary Skin Concern

Area of Concern


Medical Disclosure

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