Health History Form

Please Update Your Health History​
Time to complete: about 5 minutes

(*BH Signature HydraFacial ($199) includes our exclusive 3-Step protocol to deeply cleanse, extract, and hydrate the skin. BH Deluxe HydraFacial ($250) adds a personalized Booster Serum of your choice and includes specialized LED Light Therapy. BH Platinum HydraFacial ($300) is the ultimate HydraFacial experience, and includes all of the above, with addition of detoxifying Lymphatic Therapy.)

*For savings on BH HydraFacial, ask about membership in BH+, our monthly membership program. BH+ is $99/Month and gets you 1 FREE BH Signature HydraFacial per month and special pricing on the following services and products: Botox ($9/Unit), Dermal Fillers ($100 OFF), Microneedling ($100 OFF), CoolSculpting ($100 OFF/Cycle), Laser Hair Removal (35% OFF), and Skincare (25% OFF). Also included, same day Botox appointments.

Your information is confidential and will be saved to your account.

A copy of this health history and consent form is available upon request.