|
Risks of Neurotoxin Statement
|
Consent Form Signed
|
|
|
|
|
Glabella
|
Units
|
|
Forehead
|
Units
|
|
Crows feet
|
Units
|
|
Other (additional area)
|
Botox diagram
|
|
Post procedure bruising
|
|
|
Lot #
|
Expiration
|
