Medical Form

Medical Form

Limitation Of Treatment-Please understand that our practice is strictly limited to cosmetic procedures. You understand and acknowledge that we do not examine or treat you for malignancy (cancer) or non-cosmetic skin abnormalities. Skin cancer is an extremely serious (potentially fatal) condition and must be treated immediately. You should be examined on a regular basis by a dermatologist, and you should bring any concerns regarding skin changes or skin cancer to the attention of a dermatologist immediately. Please type the date and your full name down below.   

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