Forms and Waivers

Skin Consultation Form

First Name *

Email*

Last Name *

Date of Birth

Have you been diagnosed with any disease(s)?

Yes

Do you uses any supplements or medication on a regular basis?

Yes

Do you have a family history of any diseases?

Yes

Do you suspect any diseases that have not been diagnosed?

Yes

If you answered yes to any question, please elaborate.

Please briefly describe a typical breakfast, lunch, and Dinner.

Do we have permisson to take Before & After photos?

If yes, please submit a photo release form.

Thanks for submitting!

Product Screening Form

First Name

Last Name

Date of Birth

How would you describe your Skin?

sensative

dry

oily

combination

Please list all products and ingredients to be screened here in order of importance. (limit 8)

What do you hope to accomplish during your appointment?

Would you like to hear about any Trottier products that may be able to help with your skin at the end of your appointment?

Thanks for submitting!

Photography consent & release form

First Name

Last Name

Todays Date

I hearby grant permision to Trottier Skin to reproduce any media taken of me in any manor.

Please check here if you would like your identity obscured.

Initials

Thanks for submitting!

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TrottierCosmetics@gmail.com

1556 W McEwen Dr #200
Franklin, Tennessee 37067

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Forms and Waivers

Skin Consultation Form

Product Screening Form

Photography consent & release form

FAQ Reviews Gift Cards Forms & Waivers Bio

FAQ
Reviews
Gift Cards
Forms & Waivers
Bio