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COVID-19 Update
eJoli
01482872033
eJoli Aesthetic Treatment Electronic Consent Form
(COVID-19 concession)
Since you have last visited or contacted eJoli ...
Is your medical history is up to date?
Yes
No
Has your medication history changed?
Yes
No
Do you have any new allergies?
Yes
No
Have you had any other aesthetic treatment?
Yes
No
Please call us for if there are any changes in your information
I confirm all my answers are accurate and I have read eJoli COVID-19 update document.
COVID-19 Update
I am aware of the treatment indication and any possible side effect and complication.
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