Consultation Form

Contact Information

Skin Health Information

BY SUBMITTING THIS FORM I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE FOLLOWING: This questionnaire submitted online cannot substitute for the completeness of an in-person consultation with licensed professional skin care estheticians or doctors. The estheticians of Oxygen Medical Spa’s Skin Health Experts® analyze your skin type and suggest products solely on the completeness and accuracy of the information provided by you. You will receive a personalized E-Mail response from one of our Skin Health Experts within 24 hours of sending your inquiry. If you require an immediate response, please call our toll free number at 1-800-998-5989 Monday-Saturday between 7:30 AM and 6:30 PM and one of Oxygen Medical Spa’s Skin Health Experts will be happy to assist you.