Oshun Cosmetic Services

Intake Form


So we can prepare for your visit and keep you safe, please take a few minutes to complete your confidential health intake. Your answers go straight to your care team and are kept private, in line with the Jamaica Data Protection Act 2020.

I.

About you


II.

Biological sex


This determines which assessment questions apply to you. Hormonal symptom screens differ by biological sex.

IV.

Anything else


Reviewed by Dr. Charles Rockhead. Confidential.

Thank you

Your assessment has been received. Dr. Rockhead will review it before your visit. If anything stands out we'll reach out by WhatsApp or email.