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FACIAL INJURY TRAUMA HISTORY
I certify that the preceding medical, medication and personal history statements are true and correct. I am aware that it is my responsibility to inform the practitioner or other health professional of my current medical health conditions and to update this history. A current medical history is essential for the practitioner to execute appropriate treatment procedures.
Tap or click on the signature above to sign
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FILLER PRETREATMENT INSTRUCTIONS
7 Days Before
- To avoid bruising it is best not to take any anti-inflammatory medication or pain relievers that are blood thinners such as aspirin, Tylenol, Advil, or Motrin
- Avoid the following vitamins & supplements: Vitamin E, Fish Oil, Omega 3 fatty acids, Ginkgo biloba, Garlic, Ginger, cayenne, liquorice, flax seed oil and COQ10
- Avoid drinking alcohol a few days before treatment since it, too, is a blood thinner
- Sunburned skin is difficult to treat so avoid exposure to the sun before your appointment
- Avoid waxing, bleaching, tweezing, facial scrubs or the use of hair removal cream on the area to be treated
- Avoid the use of Alpha Hydroxy Acids higher than 10%, Retinol and Retinol A
- If you have a tendency to bruise easily, start taking Arnica Montana, an oral homeopathic medication 3-4 days before treatment to help promote healing, minimise bruising and swelling. It comes in an oral tablet and a topical cream. The cream may be helpful after treatment.
- If you have a history of cold sores (Perioral Herpes) the practitioner will prescribe a medication for you to start the day before or the day of treatment.
- Always inform your clinician of all medications including antibiotics, high blood pressure medication, Coumadin, Plavix, or other blood thinners as well as your medical history.
Other Important Information:
- Patients should be in good overall health.
- Do not use dermal fillers if you are pregnant/breastfeeding
- Active skin infections are a contraindication to treatment
- Stay well hydrated before and after filler treatment. Dermal filler attracts and binds to water to add volume to the skin.
- Schedule a follow up appointment 2 weeks after treatment.
Data Protection and Privacy
We are committed to protecting your privacy. We take special precautions with your sensitive personal data and we will process your data lawfully and as described. We only process the data we need for as long as we need to and we respect all of your rights under GDPR. We will never sell, share or otherwise abuse your data. You can contact us at anytime to request your data, change your preferences or request that your data be deleted. GDPR is the European privacy law designed to protect you and give you control of your data.
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Appointment Guidance
- Please only attend at your appointment time
- Please ensure you are on time - if you are late this may result in your appointment being cancelled
- Please attend your appointment unaccompanied
- Please limit the personal possessions you bring with you
- Hand sanitiser will be provided upon arrival and will be available throughout your appointment
- Please wear a face covering to enter and walk around the salon/clinic
- We encourage contactless/card payments where possible
- If you experience Covid-19 symptoms after your appointment please contact us immediately
Please DO NOT attend your appointment. Please contact us to cancel / reschedule.
Please DO NOT attend your appointment. Please contact us to cancel / reschedule.