Lichen Sclerosus - Client Intake

This form helps us understand your diagnosis, symptom pattern, treatment history, and the lifestyle factors that may affect your response to photobiomodulation. It provides the clinical detail needed to determine appropriate dosing, frequency, progression pace, and safety considerations specific to you.

Please complete each section thoughtfully and in full. After submission, your responses are carefully reviewed and analyzed before your treatment protocol is constructed. You can expect your protocol to be delivered via email within 5 - 7 business days.