• PATIENT HISTORY FORM

    Lawrence Osman, MD
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  • Review of Systems: Do you have now or have you recently had?

  • Allergies to Medications:

  • Medications:

  • Medical History:

  • Factoids: ​Over 7 million Botox treatments are performed each year. More than 9,500 people are diagnosed with skin cancer every day.

  • Should be Empty: