• Medical History for MOXI/BBL & ForeverBare Skin Procedures

  • Choice Health & Wellness Tamera Nolan ARNP

    415 W. Third Ave Moses Lake, WA 98837

     

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  • Medical History

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  • I have answered the questions contained in this questionaire to the best of my knowledge. I understand that it is ,u responsibility to inform my practitioner of my current health conditions while seeking treatment as a patient. I will update this information as it occurs. 

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