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Consultation Form
Please complete this form prior to your appointment.
Medication, including some supplements, can affect the healing and colour outcome of your procedure. It is important to be completely honest and detailed if you are taking any medication, or if any of the following applies to you. Do you have any of the following?
Does your current skin care contain any of the following cosmeceutical ingredients?
What is your skin type?
Are you taking any of the following?
I have had explained to me the reason behind having a sensitivity or patch test and I chose not to/chose to (select below) have the test.

Thank you for completing this form. Your details will be reviewed prior to your booking and will be in touch for any concerns.

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