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History of MRSA

Pregnant / Breastfeeding Now

Botox

Allergic reactions to any medications - Lidocaine, Tetracaine, Epinephrine, Dermacaine,Carbopol, Lecithin

Abnormal heart condittion

Eyelid surgery

Tumors / Cysts

Eye Surgery

Lip Fillers / Juvederm

Accutanne or Acne Threatment

Easy Bleeding

Oily Skin

Diabetes

Chemotherapy Radiation

Brow / Lash Tinting

Chemical Peel

Autoimmune Disorder / Thyroid

Hepatitis A,B,C,D

Cancer

Tanning by Booth or Sun

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Taking Blod Thinners, Aspirin

Cold Sores

Forehead / Brow Lift

Difficulty Numbing

HIV / AIDS Virus

Allergies to metals, latex, food,

Any diseases or disorders not listed

Have you had any alcoholic drink the last 48 hrs?

Do you use skin care produts containing Retin-a, glycolic acid or alpha hydroxyl?

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Join Our Online Event

Do you presently have, or have previously had any of the following? If yes please click the box.

Do you presently have, or have previously had any of the following?
If yes please click the box.