top of page

Pre-Appointment Questionnaire

Prior to attending your consultation, please ensure you have completed the form below. This will allow us to focus on your areas of concern during your consultation, meaning you should get a lot more out of it. 

​

Please note that your questionnaire must be completed at least 48 hours before your appointment. If it is not completed by this time, we will be unable to go ahead with your consultation and it will be cancelled. 

Birthday
What are your main skin concerns? (tick as many as you'd like)
Are you currently pregnant or breastfeeding?

Please upload some high quality photos of your face. These should be taken in good lighting with the rear camera of your phone.

Front

45 degrees left side

45 degrees right side

Please upload close up pictures of any areas that are of particular concern.

If attending a virtual consultation with Dr Joanna, please select which platform you would like to use.
WhatsApp video
FaceTime
Zoom

Opening Hours

Monday 

10:00 am - 4:00 pm

Thursday

10:00 am - 4:00 pm

bottom of page