Interface
about us meet Specials locations contact blank
procedures skincare consultation patient_forms blank02
tagline
 

Skincare
Skin evaluation
Skincare products

ophthalmic
 

Skin Test

1. Do you consider yourself to have?
Oily or acne prone skin
normal skin
dry skin
sensitive skin
sun damaged skin
2. Do you currently suntan?
Yes  No
3. Are you currently under the care of a physician for the treatment of any skin disorder (such as acne or roscea) or using prescribed topical medications for your face?
Yes  No
4. Do you have dark spots on your face and/or hands from previous sun exposure?
Yes  No
5. Do you have any know skin allergies
Yes  No


© 2005 Interface Aesthetic Surgery Group