MEDICAL QUESTIONNAIRE PRIOR TO TREATMENT Logo
  • MEDICAL QUESTIONNAIRE PRIOR TO TREATMENT

    MMT aesthetics LTD
  •  -
  • Health Questionnaire

  • CONSENT AGREEMENT

    PLEASE SELECT YOUR TREATMENT AND READ CAREFULLY
  • Dermal Fillers

    Profhilo

    PRP (platelet-rich-plasma)

    Mesotherapy

    Botox

    Fat Dissolving Injections

    B12 Injections

    Sunekos 

    (no consent forms necessary for Consultations)

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  • Please note: for treatments using Botulinum Toxin a copy of this completed form will be sent to our Doctor to be reviewed before your prescription for Botulinum Toxin can be sent to your aesthetics practitioner. You may be contacted once your consent form has been reviewed to answer any relevant questions. You will be informed as soon as possible if the treatment can not go ahead.

  • www.MMTaesthetics.co.uk        contact@MMTaesthetics.co.uk

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