|
Consents Signed
|
New Free Draw
|
|
Botox
|
Amount
|
|
Juvederm
|
Amount/ Lot # / Exp Date:
|
|
Restylane
|
Amount/ Lot # / Exp Date:
|
|
Wydase
|
Amount
|
|
Kenelog
|
Amount
|
|
Filler Consent
|
Botox Consent
|
|
Kenelog Consent
|
Hyaluronidase/ Wydase Consent
|
