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  • MY MIRAJ STUDIO

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CLIENT INFORMATION SHEET

**Only for Lip PMU services** Have you ever had a cold sore? If yes, you must contact your physician for a prescription of ZOVIRAX capsules, an antibiotic which prevents cold sores.
Are you currently under the care of a physician? Required
Do you take antibiotics when going to the dentist? Required
Do you suffer from: Required
Are you presently taking any medication which thins the blood? Required
Do you take antibiotics when going to the dentist? Required
Do you wear contact lenses? Required

Thanks for submitting!

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