Junin Laser Spa and Weight Loss Center
Book On Line and Receive $50.00 off your Venus viva package and a free Consultation.
Call Us: 240-206-8046
2110 Priest Bridge Dr suite 4, Crofton, MD 21114
juninlaserspa@yahoo.com
Assessment Form

Client Assessment Form

Office policy and client notification


Please be advised, you are expected to make your appointment. You will receive notification text 48hrs before your appointment time. ANY cancellation within 16hrs of appointment is subject to $10 charge. Any no call or no show is subject to $25 charge before you secure your next appointment.


 Refund policy: there will be no refund on package price after the initial treatment. If, for any reason you want refund before your initial treatment, 25% will be deduction from the amount paid. In the event you are unable to continue your treatment, you will receive office credit which can be used only towards any other service at the clinic.


PLEASE SIGN YOUR FULL NAME BELOW IF YOU AGREE

Client Assessment

Please indicate the services and areas of interest

Skin Type

Medical History


Do you have or have you ever had any of the following condition?


Medication History

Allergies

Medication History


Other Cosmetic

Client Assessment Form

Client Assessment Form

Office policy and client notification


Please be advised, you are expected to make your appointment. You will receive notification text 48hrs before your appointment time. ANY cancellation within 16hrs of appointment is subject to $10 charge. Any no call or no show is subject to $25 charge before you secure your next appointment.


 Refund policy: there will be no refund on package price after the initial treatment. If, for any reason you want refund before your initial treatment, 25% will be deduction from the amount paid. In the event you are unable to continue your treatment, you will receive office credit which can be used only towards any other service at the clinic.


PLEASE SIGN YOUR FULL NAME BELOW IF YOU AGREE

Client Assessment

Please indicate the services and areas of interest

Skin Type

Medical History


Do you have or have you ever had any of the following condition?


Medication History

Allergies

Medication History


Other Cosmetic

Client Assessment Form

Office policy and client notification


Please be advised, you are expected to make your appointment. You will receive notification text 48hrs before your appointment time. ANY cancellation within 16hrs of appointment is subject to $10 charge. Any no call or no show is subject to $25 charge before you secure your next appointment.


 Refund policy: there will be no refund on package price after the initial treatment. If, for any reason you want refund before your initial treatment, 25% will be deduction from the amount paid. In the event you are unable to continue your treatment, you will receive office credit which can be used only towards any other service at the clinic.


PLEASE SIGN YOUR FULL NAME BELOW IF YOU AGREE

Client Assessment

Please indicate the services and areas of interest

Skin Type

Medical History


Do you have or have you ever had any of the following condition?


Medication History

Allergies

Medication History


Other Cosmetic

Share by: