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Nur Aesthetics Clinic Ltd
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I understand the information you have been provided?
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Do you have any medical conditions?
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If yes, what are they?
Are you pregnant or breastfeeding?
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Do you have an autoimmune disease?
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Do you have a neuromuscular disease (e.g. MS, ALS, motor neuropathy myasthenia gravis, or Lambert-Eaton syndrome)?
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Do you have any skin conditions?
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If yes, what are they?
Do you have any known allergies or have ever had anaphylaxis?
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If yes, what are they?
Are you taking antibiotics or other prescription medications?
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If yes, what are they?
Is there any other Medical and/or Social History that we should know? If so, please provide full detail here.
What are your aims/motivations for having the procedure and the desired outcome? Please provide full details here.
Have you had this or a similar treatment before? If so, did you experience any problems? Please provide full details here.
Do you have any concerns? If so, please provide full details here.
Is there anything else we should know? Please provide full details here.
I will retain this information throughout the course of my treatment and refer to it as required.
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I accept that all deposit are non-refundable?
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