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digital consent forms

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?
Do you take antibiotics when going to the dentist?
Do you suffer from:
Are you presently taking any medication which thins the blood?
Do you take antibiotics when going to the dentist?
Do you wear contact lenses?

Thanks for submitting!

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