|
Consent
|
|
|
Risks Discussed & Consent Signed
|
|
|
Botox Treatment Record
|
|
|
Glabella
|
Units
|
|
Forehead
|
Units
|
|
Left crows feet
|
Units
|
|
Right crows feet
|
Units
|
|
Bunny Lines
|
Units
|
|
Other
|
Units
|
|
Botox diagram
|
|
|
Procedure Completion
|
|
|
Total Botox
|
|
|
Serial Number
|
Expiration Date
|
|
Tolerated well
|
|
