Online Consultation | New You Medical Aesthetics

Ensure your consultation environment is quiet and clear
Bring your current skincare products to the session
Include complete medical and skin history in the form
Consultation is educational and advisory, and does not replace in-person procedures

Consultation fee: R600 for a 30-minute session
FNB: NDLELA HEALTHCARE GROUP, Account 63084898841
Capitec: NN NDLELA
Reference should use your name and surname
WhatsApp or email proof of payment, or add POP reference in the form
After payment and form submission, consultation time is confirmed by the clinic team

Online Consultation Form

Clients Details

Full Name

Email

Phone

Preferred Consultation Date

Preferred Consultation Method

Medical and Skin History

Relevant Medical / Skin History

Current Medication

Are you currently taking any medication?

Do you have any illness or chronic disease?

Any allergies (food, medication, skincare products)?

Previous Cosmetic History

Main Skin / Aesthetic Concerns

Have you had previous aesthetic treatments? If yes, which and when?

Current skincare routine and products used

Proof of Payment Reference (optional)

I understand this consultation is for education and advisory purposes and that in-person procedures require clinical assessment.