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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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604.786.4847 

liza@cantikesthetics.ca

1959 152 Street

Unit#115

Surrey, B.C.

Hours of Service

Mon: Closed


Tue: 10:30 AM – 7:00 PM


Wed: 10:30 AM – 7:00 PM


Thu: 10:30 AM – 7:00 PM


Fri: 10:30 AM – 5:00 PM


Sat: 9:30 AM – 2:00 PM

Sun: Closed

Serving Surrey BC and the Lower Mainland, including Vancouver, Cantik Esthetics  Skin Care specializes in thermocoagulation, skin tag removal, milia, keratosis, and advanced non-invasive skin treatments for clear, healthy skin..

Facial Transformation Studio | Advanced Sculpting & Corrective Skin – Surrey, BC

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