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Facial Consultation Card

Please answer these questions below to help us provide the correct products for your at home facial kits to be used on your skin.
  • YOUR HEALTH

  • YOUR SKIN

  • Please tick if the answer is YES
  • If yes please tick the below:
  • Contact Details

  • Date Format: DD slash MM slash YYYY
  • Submit your consultation form

    By clicking submit you are confirming (to the best of your knowledge) that the answers you have given are correct and that you have not withheld any information that may be relevant to your treatment. DATA Alchemy take privacy seriously. As the data controller of the personal data that you have provided on this form, we will use your personal data for the purpose of carrying out your consultation and keeping a record of your treatments. Please refer to our full privacy policy on Alchemy's website for more information about your rights and how we use your personal data. If you have any questions please email info@thealchemy.co.uk.
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