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Join our exclusive beauty community

Create Your Account

First Name *

Last Name *

Date of Birth *

Gender *

Email *

Phone *

Address *

City *

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Emergency Contact

Name *

Phone *

Relationship *

Medical Information & Consent

I confirm that I am 18 years of age or older *

Medical Intake Required

After registration, you'll complete a comprehensive medical questionnaire to ensure safe treatment. This includes questions about medications, allergies, and medical history as required by Florida medical spa regulations.

I acknowledge receipt of the HIPAA Privacy Notice and understand my rights regarding protected health information *

I understand that cosmetic treatments carry risks and that a consultation with our medical director is required before any treatment *

I consent to before/after photos being taken for treatment documentation and potential marketing use (Optional)

Communication Preferences

Email notifications for appointments and important updates

SMS reminders for appointments (standard rates apply)

Marketing emails about new treatments and special offers

How did you hear about us?

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Benefits of Creating an Account

Quick Booking

Save time with faster appointment scheduling and personalized treatment recommendations.

Loyalty Rewards

Earn points with every treatment and redeem them for exclusive services and products.

Treatment History

Track your beauty journey with easy access to your past treatments and results.