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    Please print and bring your completed Patient Information & Medical History Form and Photograph Use Consent Form to your appointment.

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    Click on the name of the form you need:

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    Botox, Dysport, Xeomin Consent Form

    Botox, Dysport, Xeomin Post Care

    Botox, Dysport, Xeomin Treatment Record

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    Dermal Fillers Consent Form

    Dermal Fillers Post Care

    Dermal Fillers Treatment Record

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    Deoxycholic Acid Treatment (Kybella) Consent Form

    Deoxycholic Acid Treatment (Kybella) Pre & Post Care

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    PRP for Facial Rejuvenation Consent Form

    PRP for Facial Rejuvenation Pre & Post Care

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    PRP for Hair Restoration Consent Form

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    SkinPen Precision Microneedling with PRF Consent Form

    SkinPen Precision Microneedling with PRF Pre & Post Care

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    SkinPen Precision Microneedling Consent Form

    SkinPen Precision Microneedling Pre & Post Care

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    Sclerotherapy Consent Form & Post Care

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    PDO Threads Consent Form

    PDO Threads Post Care

    PDO Threads Injection Record

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    Hylenex Consent Form

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    If you have questions please call us at (754) 600-9373.

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    Dr. Landa Med Spa

    (754) 600-9373

    Located inside Northridge Shopping Center, 981 East Commercial Blvd, Ste 206 Oakland Park, FL 33334, USA

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    ©2020 by Dr. Landa Med Spa