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Electrolysis Client Consultation Mobile App

The Electrolysis Client Consultation mobile app provides a detailed initial consultation form that includes the following: process of electrolysis treatment plans, unwanted hair that needs to be removed, previous laser hair removal treatments, allergy concerns, and skin reactions that can occur. You can also capture a client's signature. All information is saved in your GoCanvas Cloud account and can be shared as a PDF. This app is available on an iPhone, iPad, or Android device.

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Take a peek inside the Electrolysis Client Consultation Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

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    Name

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    Date

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    Address

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    D.

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    Phone#

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    Email

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    How did you hear about us?

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    Emergency contact – name & phone number

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    What area(s) are you interested in treating today?

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    How are you currently treating the hair growth?

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    Have you previously had electrolysis treatments?

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    If yes, when was the last treatment and what area(s) were treated?

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    Did you have any concerns or problems with your treatments?

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    If yes, please explain

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    Have you taken Accutane within the last 6 months?

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    If yes, when did you start?

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    When did you stop?

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    Do you have any of the following medical conditions?

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    Do you have any of the following medical conditions?

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    Please list any other medical conditions

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    Do you have any allergies to the following?

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    Please list any other allergies

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    Are you currently under the care of a physician or dermatologist?

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    If yes, please explain

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    I am aware that electrolysis does involve a series of treatments.

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    It is important to stay on a regular schedule due to the cycle in which the hair grows, between t...

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    Please read and initial the following statements to better understand how the electrolysis proced...

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    Electrolysis is a medically approved method of permanent hair removal.

  • ...and More!

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