Completed by client - all information is strictly confidential
If yes, please note below (optional)
04
Scalp Analysis Machine Findings
Completed by Specialist
Severity Scales (1 = Minimal · 5 = Severe)
05
Treatment & Product Recommendations
Completed by Specialist
06
Consent & Signature
I confirm that the information provided is accurate to the best of my knowledge. I understand that this scalp analysis is for wellness purposes only and does not constitute a medical diagnosis. I consent to the recommended scalp treatments and authorize Treasuring Tresses to document my scalp health progress over time. I understand that results may vary and that consistent care yields the best outcomes.