New Client Request Form Become a Lügn Esthetics ClientFill out the form below and Madison will get back to you. Name * First Name Last Name Email * Birthday * MM DD YYYY Phone * (###) ### #### How did you hear about Lügn Esthetics? Google, Instagram, Friend, Family? (please state the name of the person who referred you) * To begin with Lügn Esthetics, which consultation are you looking to receive? All clients must begin with a consultation to discuss homecare and treatment plan. Consultations are paid by invoice before your consultation is booked. Are you looking for an appointment for in clinic treatment, virtual consultation, Transformative Journey? * In Clinic Consultation + Treatment In Clinic Consultation ONLY Virtual Consultation or Skin Evaluation Transformative Journey Consultation and homecare are required for all clients wanting to work with Lügn Esthetics. If you're a new client wanting to schedule treatment the same day as your consultation alongside your homecare please tell us which treatment youre interested in. Price of appointment will be paid by invoice before your first appointment is booked. Homecare will be purchased at your first appointment. * First Time Client Consult + Starter Facial or Journey ($185 + Homecare) First Time Client Consult + Lügn Facial ($255 + Homecare) First Time Consult + Lügn Sculptural Facial ($255 + Homecare) In Clinic Consult - NO treatment included ($99 + Homecare) Virtual Consult - NO treatment included ($99 + Homecare) Are you looking to make treatments a monthly / regular thing in order to meet your goals? * Yes, I am ready for a new home care regimen and to come in for monthly or frequent treatments No, I just want a new home care routine Tell us about your skin / what you're looking to improve or achieve by coming to Lügn Esthetics. Include any important information of skin history / if you've been struggling for a while. The more information the better, so we can come up with a curated plan for you. * How much are you expecting to invest for your home care routine? Keep in mind that a targeted and tailored regimen begins around $175. We carry 140+ products to ensure we can work with almost any budget. Our goal is to make sure your results and home care are easily obtainable for you. * $175 - $250 $250 - $350 $350+ I am willing to invest whatever it may be to get started on a quality and results driven treatment plan + regimen. I am currently on a professional home care routine from my last esthetician and would like help making adjustments. Preferred Date/Time/Day of week that you're hoping for, or if you don't have a preference. * Thank you!