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Consultation Form

Consultation Form

Use a Consultation Form template to make your document workflow more streamlined.

Details Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Do you smoke? How many per day? If ‘No’, have you ever smoked? When did you give up? Do you drink alcohol? Have you had any dermal filler treatment or ? Y N If yes, which treatment did you receive, what areas were treated and when? If “Yes”, how many units per week? Do you take regular exercise? If ‘Yes’, what type of exercise do you do? Are you currently receiving any medical...
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