Laser Hair Removal Toronto Botox Cosmetic Clinic

Consultation and Analysis

Get started today with the Laser Hair Removal process... you can be hair free sooner than you think!

Complete the following questionnaire to find out if you are a candidate for Laser Hair Removal.

ALL INFORMATION IS STRICTLY CONFIDENTIAL.

* Mandatory fields. Make sure that all the required fields are filled out. Thank you!

* 1. What body area are you considering for laser hair removal?


* 2. What have you previously used to remove your unwanted hair? Please select all that apply:
Tweezing Shaving Waxing Plucking Threading Bleaching Nair, Epilstop Nothing

* 3. What color is your hair in the area you want to be treated?
Black
Brown
Light Brown
Blonde
Light Blonde
Red
Grey
White

* 4. What color is your skin in the area you want to be treated?
White
Olive
Light Brown
Brown
Black

* 5. Do you have a sun tan?
No Tan
Slight Tan
Tan

* 6. What is your skin type in the area you are considering to have laser hair removal?
Type I- Always burn, never tan (extremely fair skin/blond hair/blue/green eyes)
Type II- Usually burn, tan less than about average (fair skin, sandy brown to brown hair, green/blue eyes)
Type III- Sometimes mild burn, tan about average (medium skin, brown hair, green/brown eyes)
Type IV- Rarely burn, tan more than average (olive skin, brown/black hair, dark brown/black eyes)
Type V- Moderately pigmented, tans profusely (dark brown skin, black hair, black eyes)
Type VI-Deeply pigmented, never burns (black skin, black hair, black eyes)

* 7. Have you been on Accutane in the past 6 months?
Yes
No

* 8. Are you currently on any medication?
Yes
No
If yes, does it cause photosensitivity?
Yes
No
Not Sure

What is the name of the medication?


Any other medical conditions?

* 9. Requesting More Information.

* Would you like us to call you? (strictly confidential)
Yes
No

* Would you like a free brochure mailed to you?
Yes
No

Personal information. (All the information will be kept strictly confidential!)

* Your name

* Address

* City

* Province

* Postal Code

* Phone


* 10. What e-mail address would you like the analysis results sent to? E-mail must be provided to receive information!

Please enter the text you see in the image*

We will respond to your request via e-mail.

IMD Laser - Laser Hair Removal Toronto Cosmetic Clinic

Testimonials

IMD Laser Clinic is clean, very well organized and welcoming. I appreciated their customer service calls and their willingness to answer any of my questions or concerns. I always felt very well taken care of, as their professionalism and knowledge of my specific needs where always at the forefront of their work. I have and will continue to recommend IMD Laser Clinic to anyone, you will be amazed by the results and very comfortable within their environment....

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IMD Laser Clinic provides laser hair removal and anti-aging cosmetic treatments for customers from Toronto, North York, Vaughan, Richmond Hill, Aurora, Scarborough, Etobicoke, Mississauga, Ajax, Pickering, Markham, Woodbridge, etc.

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