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What body area are you considering for laser hair removal? Please check all that apply:*

What methods have you previously tried to remove the hair? Please check all that apply:*

What color is the hair in the area that you wish to have treated? Please choose the color that is the closest match:*

What is your skin color in the area that you wish to be treated? Please choose the color that is the closest match:*

Do you have a tan on the area that you wish to be treated?*

What is your skin type in the area you are considering to have laser hair removal treat on? *

Type I- Always burn, never tan (extremely fair skin/blond hair/blue/green eyes)
Type II- Usually burn, tan less than about average (fair skin, sandy brown to brown hair, green/blue eyes)
Type III- Sometimes mild burn, tan about average (medium skin, brown hair, green/brown eyes)
Type IV- Rarely burn, tan more than average (olive skin, brown/black hair, dark brown/black eyes)
Type V- Moderately pigmented, tans profusely (dark brown skin, black hair, black eyes)
Type VI-Deeply pigmented, never burns (black skin, black hair, black eyes)

Have you been on Accutane in the past six months?*

Are currently on medication?*

If yes, does the medication cause photosensitivity?

Are there any other questions that you would like answered?

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Rochester Laser Spa