*If you have already submitted this form to eleven esthetics before, there is no need to complete it again unless there have been significant changes to your information since your last visit.*

To ensure your health and safety, please submit this mandatory Client Intake and Consent Form no later than the morning of your appointment so that we have time for review before seeing you in the studio.

Your information is strictly confidential and is not shared with anyone outside of eleven esthetics without your prior written consent.

We also ask that you please review all of our policies, which can be found in the ‘policies & FAQ’ section of our website by clicking this link.

If you have any questions, please email info@elevenesthetics.com or text 510.545.3558 as soon as possible.

Thank you!