Patient Consent Form For Laser Hair Removal Treatment

Suite 2, 215 Bell Street, Preston VIC 3072

P: 03 9863 6966

M: 0450 289 588

Step 1 of 3
Date Of Birth
Do you have a family history of superfluous (excess) hair?
Do you have any current or chronic medical illnesses?
Are you taking any medication?
Are you currently under a doctor’s care?