botox/filler record Medical Form - Nov. 30, 2013, 10:01 a.m. | DrChrono

Consents Signed	Injection diagram
Juvederm • • •	Radiesse Location • • •
Amount	Amount
Lot Number	Lot Number
Expiration Date	Expiration Date

Artefill Location • • •	Botox • • •
Amount	Amount
Lot Number	Lot Number
Expiration Date	Expiration Date

botox/filler record Medical Form

Plastic Surgeon

injectables, all including botox

There are 79 copies in use.
Published: Nov. 30, 2013, 10:01 a.m.
Doctor: Dr. History Physical
Rating: +5 /

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