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• About Permalaser
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  • Laser Hair Removal
  • Botox
  • Artecoll
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  • Microdermabrasion
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• Contact Us

Laser Hair Removal Online Consultation

Our Free Online Consultation is a quick and confidential way to find out if you are a good candidate for laser hair removal services.

1. What body area are you considering for laser hair removal?

2. What have you previously used to remove your unwanted hair? Please select all that apply.

Nothing Waxing    Tweezing Shaving    Nair, Epilstop Bleaching

3. What color is your hair in the area you want to be treated?

Black Brown Blonde Grey White Light Brown Light Blonde Red

4. What color is your skin in the area you want to be treated?

White Light Brown Brown Black

5. Do you have a sun tan?

No Tan Slight Tan Tan

6. What is your skin type in the area you are considering to have laser hair removal?

Always burn, never tan (extremely fair skin/blond hair/blue/green eyes) Usually burn, tan less than about average (fair skin, sandy brown to brown hair, green/blue eyes) Sometimes mild burn, tan about average (medium skin, brown hair, green/brown eyes) Rarely burn, tan more than average (olive skin, brown/black hair, dark brown/black eyes) Moderately pigmented, tans profusely (dark brown skin, black hair, black eyes) Deeply pigmented, never burns (black skin, black hair, black eyes)

7. Have you been on Accutane in the past 6 months?

Yes No

8. Are you currently on any medication?

Yes No If yes, is it photosensitive? Yes No Not Sure What is the name of the medication? (Please list any an all medications, including natural products such as St-John's Wort)

9. Personal information. (All Information is Strictly Confidential!)

Name * Phone Number * E-mail address * Would you like us to call you? Yes No Would you like a free brochure? Yes No Address City Province / State Zip Code/ Postal Code Country

We will respond to your request via e-mail