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American Laser Centers - San Diego
San Diego, CA

Clinic Details:
American Laser Centers - San Diego

Description of Practice:	American Laser Centers of San Diego, CA is well known for their advanced laser hair removal procedures. Offering the benefits of the most up-to-date knowledge in this field, unwanted hair is now painlessly removed from the body in the most effective methods available. Professional, certified staff oversees every detail to insure the utmost in customer satisfaction. Offering initial no-obligation consultations and welcoming guests for a walk through tour of the state-of-the-art facility, customers are quick to notice the difference at American Laser Centers. From beginning to end, the experience will be a positive one.
Specialty:	Laser Hair Removal
Contact:	SignatureSpecialists Certified
Phone:	866-839-4465
Address:	16766 Bernardo Center Drive, Suite 109 San Diego, CA 92128
Office Hours:	Mon., 10:00 am to 06:00 pm Tue., 10:00 am to 06:00 pm Wed., 10:00 am to 06:00 pm Thur., 10:00 am to 06:00 pm Fri., 10:00 am to 06:00 pm

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Title:

Name (first/last):

Email Address:

Phone Number:

For a more detailed evaluation and to save 10% off your first treatment (at participating clinics) complete the entire consultation form.

Street Address:

Apt #:

City:

State:

Zip Code:

Is your skin suntanned? (Check if yes.)

Color of hair to be removed:

Black
Brown
Reddish-brown
Light-brown

Light-blond
Red
White
Gray

Gender:

Female

Male

Areas to treat (check all that apply):

Upper Lip
Chin
Face
Neck
Under Arms

Arms
Shoulders
Upper Back
Lower Back
Chest

Abdomen
Pubic Area
Buttocks
Upper Leg
Lower Leg

Skin type:

Type I: Always burns in the sun. Never gets tan. Fair skin, light eyes.
Type II: Sometimes burns, but it turns to tan. Fair skin, medium to dark eyes, light brown- brown hair.
Type III: Usually tans, can burn as well. Medium skin; medium to dark eyes, brown hair.
Type IV: Seldom burns. Possibly Mediterranean, Asian or Hispanic descent. Olive skin, dark eyes, brown black hair.
Type V: Almost never burns. Get dark in the sun. Possibly Mediterranean, Asian, Hispanic or other descent. Dark skin, hair and eyes.
Type VI: Very dark. Never burns. Possibly African-American, Indian or West Indian descent.

Are you taking, or have you taken Accutane in the last six months?

Yes

Are you taking any medication that causes photosensitivity?

Yes

Not sure

If you are not sure, which medicines are you taking?

Additional Comments:

Please include the color of the hair to be treated, your skin type (click here for skin type chart), the areas to be treated and any other information you think is important.

There are other questions that will be asked when you come in for your consultation, but these give us some of the basic information that we need.

American Laser Centers - San DiegoSan Diego, CA

Contact American Laser Centers - San Diego:

American Laser Centers - San Diego
San Diego, CA