• Patient Information and Medical History

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  • Medical History



  • History

  • Female Clients Only

  • I certify that the preceding medical, personal, and skin history statements are true and correct. I am aware that it is my responsibility to inform the tech, esthetician, therapist, doctor, or nurse of my current medical or health conditions and to update this history. A current medical history is essential for the caregiver to execute appropriate treatment procedures.

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