All procedures performed by:
“Licensed Estheticians”

Covid-19 Waiver

What is your purpose? *

Health History

Select any chronic Health Problem/s you had/have:
Select all medications you take regularly: *
Are you Pregnant or Nursing? *
Do you have any known allergies?

Diet & Lifestyle

Do you consume coffee, caffeine, recreational drugs or alcohol? *
Check all that apply:


Are you under a Dermatologist's care? *
Do you pick at your skin or perform extractions? *
Are you currently experiencing skin problems? If so what kind?


Pls indicate brand name
Does your skin sting or burn when you do your skincare routine? *
Do you use makeup? *


Please upload 3 pictures of your face. Left side, Right side and Front. This will allow me to have a better understanding of your skin and any issues you may be facing. Please do not use filters and have good lighting.
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Click the boxes to agree to the terms and conditions: *


Tue-Sun: 11:00 am – 7:00 pm
Monday: CLOSED

*Closed on: Thanksgiving Day,
Christmas Eve, Christmas Day & New Year’s Eve

Book Appointment

Book an Appointment

Find Us

Our Address

30677 B Union City Blvd,
Union City, CA 94587


Contact Us

(510) 431-3142

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