Print out the form below, fill out all applicable information and bring it in with you for your appointment.
Please make us aware of any Latex Allergies.
Latex is widely used in many products and for those who have latex allergies, avoiding exposure can be challenging. If you have a latex allergy, please inform us and remind us at each session (please!).
We try and purchase latex free beauty products wherever possible but because of the amount of supplies purchased at ESI form various vendors we cannot always be sure they are latex free.