|
Feels well
|
General health symptoms
• • •
|
|
Changing moles
|
Keloids
|
|
Pacemaker or defibrillator
|
Bruising or bleeding tendency
|
|
Depressed immunity/autoimmune disease
|
On blood thinners?
• • •
|
|
Band-aid or adhesive sensitivity
|
Latex sensitivity
|
|
Pregnancy
• • •
|
Other
• • •
|
|
Further comments
|
NOT REVIEWED
|
|
|
Birth control
|
|
Acne / menses
• • •
|
|
|
Psoriatic arthritis
|
|
|
Biologic Side-effects
|
|
