NEED HELP WITH SKINCARE?

Answer the questions below and I'll evaluate your skincare needs!

First Name *

Last Name *

Email *

Phone

Age *

What's your current routine? *

Which of these describe your skin? (You can choose more than one) *

Do you experience any of these skin conditions on your face/body? *

What skin issue is most important to correct? *

What is important to you in guiding your skincare selection? *

Is there anything else you'd like for me to know about your skin?

I consent to receive non-marketing text messages from Todd Russell Schlifstein MD dba The Beauty Chic about the results from my skincare assessment form at the phone number provided. Message & data rates may apply. Text HELP to (833) 737-0399 for assistance. You can reply STOP to unsubscribe at any time.

I consent to receive marketing text messages from Todd Russell Schlifstein MD dba The Beauty Chic at the phone number provided. Frequency may vary. Messaging & data rates may apply. Text HELP to (833) 737-0399 for assistance. You can reply STOP to unsubscribe at any time.

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WHAT HAPPENS AFTER YOU HIT SUBMIT? I'LL REVIEW YOUR ANSWERS AND GET BACK TO YOU SOON WITH SKINCARE SUGGESTIONS.

Todd Schlifstein

(833) 737-0399

NEED HELP WITH SKINCARE?

Answer the questions below and I'll evaluate your skincare needs!

First Name *

Last Name *

Email *

Phone

Age *

What's your current routine? *

Which of these describe your skin? (You can choose more than one) *

Do you experience any of these skin conditions on your face/body? *

What skin issue is most important to correct? *

What is important to you in guiding your skincare selection? *

Is there anything else you'd like for me to know about your skin?

I consent to receive non-marketing text messages from Todd Russell Schlifstein MD dba The Beauty Chic about the results from my skincare assessment form at the phone number provided. Message & data rates may apply. Text HELP to (833) 737-0399 for assistance. You can reply STOP to unsubscribe at any time.

I consent to receive marketing text messages from Todd Russell Schlifstein MD dba The Beauty Chic at the phone number provided. Frequency may vary. Messaging & data rates may apply. Text HELP to (833) 737-0399 for assistance. You can reply STOP to unsubscribe at any time.

Privacy Policy I Terms and Conditions

WHAT HAPPENS AFTER YOU HIT SUBMIT? I'LL REVIEW YOUR ANSWERS AND GET BACK TO YOU SOON WITH SKINCARE!

Todd Russell Schlifstein MD is dba The Beauty Chic

Need help? [email protected]

330 E 38th Street 29 A, NY New York 10016

(833) 737-0399

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