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Skin Care Consultation Form Mobile App

The Skin Care Consultation mobile app covers information on the skin problems that concern your patient, the patient's skin care habits, and health history. Since this app is customizable, you can discuss fine lines and wrinkles, dark spots, skin care products, skin care treatments such as plastic surgery or chemical peels, and the use of Vitamin C in skincare products can help your patient's skin repair.

This app can be downloaded to an iPad, iPhone, or Android device. All skin care treatments records are saved in the GoCanvas Cloud and can be emailed or printed as a PDF if you need them sent to a licensed medical esthetician, the patient to start a skincare routine, or for your records.

All our apps for estheticians can be found on the apps category page!

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Skin Care Consultation Form Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

  • {{data.title}}

Included Fields

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

  • Ico date

    Date

  • Ico textbox

    Name

  • Ico statictext

    Welcome to Adult & Pediatric Dermatology, pc cosmetic skin care program.

  • Ico multiline

    How did you hear about us?

  • Ico statictext

    What skin problems concern you?

  • Ico checkbox

    Acne

  • Ico checkbox

    Blackheads

  • Ico checkbox

    Wrinkles

  • Ico textbox

    Location

  • Ico checkbox

    Dry Skin

  • Ico textbox

    Location

  • Ico checkbox

    Textural Changes

  • Ico textbox

    Location

  • Ico checkbox

    Brown Discoloration

  • Ico textbox

    Location

  • Ico checkbox

    Red Discoloration

  • Ico textbox

    Location

  • Ico checkbox

    Skin Lesions or Spots

  • Ico textbox

    Location

  • Ico checkbox

    Unwanted Hair

  • Ico textbox

    Location

  • Ico textbox

    Are you currently under a Dermatologist’s care?

  • Ico multiline

    Reason for Dermatolgist

  • Ico statictext

    How do you currently care for you skin?

  • Ico statictext

    In the morning:

  • Ico textbox

    You wash with:

  • Ico textbox

    Use a toner or astringent:

  • Ico textbox

    Apply a moisturizer:

  • ...and More!

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