Consent
|
|
Risks Discussed & Consent Signed
|
|
FillerTreatment Record
|
|
Temples
|
cc
|
Cheeks
|
cc
|
Nasolabial Folds
|
cc
|
Marionette
|
cc
|
Upper Lip
|
cc
|
Upper Lip Vermillion Border
|
cc
|
Lower Lip
|
cc
|
Lower Lip Vermillion Border
|
cc
|
Jaw Line
|
cc
|
Other
|
cc
|
Filler diagram
|
|
Procedure Completion
|
|
Total Filler
|
|
Serial Number
|
Expiration Date
|
Tolerated well
|
|