Long Distance Consultation

If you don’t live near a salon or would like a long distance acne consultation please fill out the form below and we will be in touch. We require at least 3 photos to complete a skin consultation. This will be requested after filling out the form.
Regular consult: $20 Acne consult: $30

Consult costs are redeemable off product purchases. If you purchase all recommended products we offer a 25% discount instead*
* The discount does not apply to current customers that have receive a consult

Regular consults include:
A skin analysis
A list of product recommendations from Roccoco Botanicals
Lifestyle recommendations

Acne consults include:
A skin analysis
A list of product recommendations from Roccoco Botanicals
Checking makeup and hair care products for comedgenic ingredients
Supplement recommendations
List of foods to avoid
Lifestyle recommendations
A list of acne safe makeup and hair products

Client Form

Fields marked with an * are required

First Name *

Last Name *

Age *

Ethnicity *

Email *

Phone *

Address *

City *

State/Territory *

Zip *

Country *

Current and past medications

Please list any supplements you are taking

All makeup products you are currently using

All hair care products you are currently using *

Sunscreen you are currently using

Do you use BPO? *

Please list any treatments you are currently receiving

Please list any allergies

Do you smoke? *

Do you spend much time in the sun? *

Do you have PCOS? *

Are you pregnant or nursing? *

Are you usually stressed? *

Do you exercise? *

Do you use fabric softener? *

Please list any medical history or skin conditions

What results would you like to achieve with your skin? *

Anything else we should know?

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