Hifu Consultation and Consent Form
Areas that concern you the most
Please indicate any health problems which you have had or conditions we need to be aware of by placing a circle around the wording
- Heart, problems ,Blood pressure problems, Pace maker
- Eczema, Allergies, Psoriasis
- Migranes, Vertigo
- Sugar Diabetes , Hypolglycemia, Blood Disorder
- Hepatitis , bell's Palsy, Epilepsy
- Pregnant, Hysterectomy, Hormonal Periods
- Cancer
- Fillers, Botox, Threads