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Contraindications

Consent and contraindications verification form

The consent and contraindications verification form is an essential document that must be completed by the client before the procedure. In the form, the client gives informed consent for the procedure while providing detailed information about their health status and potential contraindications. The purpose of this document is to ensure the client's safety and protect the legal interests of the procedure provider.

Personal data

Please select your gender
Woman
Man
Transgender
Non-binary
Date of birth
Month
Day
Year
Select treatment area

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