Intake Form

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NEW CLIENT INTAKE FORM

Please fill out the new client intake form, this will speed up the process on your first visit with us. Once completed, a SKN Clinic Manager will contact you with availability options for your in-person consultation. We look forward to seeing you soon!

Client Details

Client Expectations

Medical History

Treatment History

Skincare History

Lifestyle & Diet

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We have a FREE loyalty program where you can earn points with every dollar spent and use those points for free products and treatments. No strings attached! Would you like to receive an email with details about how to sign up?

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Cancellation Policy


Once we have confirmed your appointment, we require a minimum of 24hrs notice before your appointment time for cancellations or changes for appointments up to 60 minutes in length. For appointments longer than 60 minutes, we require 48hrs.


Failure to provide adequate notice, or no-showing, will result in a $50 late cancellation fee and no-shows will also be required to pay in full in advance to re-book.


All new clients must provide a credit card number to book their first appointment. Also, clients booking Acupuncture or multiple appointments (for themselves and a friend) will be required to provide a credit card to hold their spots.

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