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Get and Sign Skin Script Consent Form Rejuvalase

Date of Birth In case of Emergency E-mail Your Skin Concerns Your Skin Type Normal/Combo Oily Dry Mature Aging Sensitive Mild Acne Moderate Acne What skin products are you currently using What makeup products are you currently using Do you use your skin care products regularly Yes No Do you workout Perspire Cleansing after perspiring Do you find yourself touching your face or using a cell phone against your face How much sun exposure do you have Describe your work/play lifestyle in regards to...

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