Consent Form
Consent Form - Botulinum Toxin Type A Please complete the following consent form. Once completed don't forget to sign before submitting. Many thanks. Angels Twelve |  Professional Aesthetics.
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Medical History.

Please complete the required medical history screening questions.

Potential Risks and Complications.

Aesthestic treatments are low risk procedures, however all treatments do carry a small risk of complications, the majority only temporary.
I have been fully informed by Dr.Olha Vorodyukhina of the risks and possible consequences involved in the above treatment including but not limited to inflammation, infection, bleeding, skin irritation, headache and ptosis. The information I have given is, to the best of my knowledge, correct. I have not withheld any known medical information. I will contact my practitioner if I have any queries about my treatment.