TU ES BELLE SPA
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Confidential Client Record

Consent & Intake Forms

Complete your forms before your appointment for a smooth, unhurried experience. Choose to download the PDF or submit securely online — whichever is easier for you.

Two Simple Options

Choose How You'd Like to Complete Your Forms

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Option 1

Download the PDF

Print, sign, and bring it with you — or fill it in digitally and email it back to us before your appointment.

Download PDF
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Option 2

Submit Online

Fill out your intake and consent forms right here on our website. Sent securely and confidentially to Tu Es Belle Spa.

Please note: Completing your forms in advance saves time in-office. All forms are confidential client records handled with care. Your information is used only for your treatment at Tu Es Belle Spa and is never shared or sold.

What's Inside

Forms Included in This Package

1New Client Intake & Health History

Personal information, medical background, allergies, medications, and skincare history.

2Skin Survey

Current skincare routine, concerns, and treatment goals for a personalized plan.

3Fitzpatrick Skin Type Assessment

Your skin type and sun-reactivity profile — helps us tailor safe, effective treatments.

4General Consent & Appointment Policy

Late-arrival, cancellation, and package expiration policies. Fair and clearly stated.

5Photo Consent

Optional — you decide whether before/after photos can be used for marketing.

6Laser Skin Resurfacing Consent

Pixel Laser and Harmony Pixel 2940nm — pre-care, aftercare, risks, and expectations.

7Microneedling & RF Microneedling Consent

Collagen induction and skin tightening — full treatment overview and aftercare.

8Chemical Peel Consent

Customized peels for resurfacing, brightening, and even tone — safety-first protocol.

9Laser Hair Removal Consent

Safe, effective, long-term reduction.

Secure Online Submission

Complete Your Forms Online

Personal Information

Health History

Please check any that apply:

Skin & Treatment Goals

Photo Consent

Consent & Acknowledgment: By submitting this form, I confirm that the information provided is accurate to the best of my knowledge. I understand that Tu Es Belle Spa is a medical spa operating under the supervision of Medical Director Dr. Fustok. I acknowledge that results may vary and that a free consultation will confirm treatment suitability. I understand the appointment policies (late fee, cancellation policy, 9-month package expiration) as outlined in the full consent forms.

Your submission goes directly to Tu Es Belle Spa. Confidential and never shared.

Thank You

Your consent forms have been received. We'll review your information and text you at (346) 812-7727 to confirm your appointment. Looking forward to seeing you at Tu Es Belle Spa.