Let's evaluate your hair growth

Please complete this form after booking and before you come in. It is how we get to know your hair growth before we ever meet — and because every hair pattern has its own history, these answers tell us what has been happening beneath the skin. Our specialist reviews it ahead of time, so your session can begin with a treatment plan already in place.

Your information

Full name

Phone

How did you hear about us?

About your hair growth

Which area would you like treated?

Since when have you noticed this hair growth pattern?

How often was it used?

How long have you used this method?

When was the last time you used this method?

What are your goals and expectations?

Previous laser or electrolysis

Have you had laser or electrolysis before?

When was your last session of laser or electrolysis?

If yes, have you gone back to temporary hair removal methods since then?

Current medications

Is there anything else about your general health we should know?

Your personal information is kept secure and confidential. Only authorized Youth Clinic staff have access to it. This form is intended solely for pre-evaluation purposes and will not be used for any other reason — we are committed to protecting your identity and confidentiality.

Your information goes directly to our team — we'll review everything before your appointment.