Patch test disclaimer
Full Name:
*
First Name
Last Name
E-mail:
*
example@example.com
Phone number
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You accept full responsibility that an reaction can occur by signing this you agree you are 100% happy to continue with or without a patch test Therefore browbrows hold no responsibility towards any out come.In the event of medical assistance needed or required you are aware it is your sole responsibility to seek medical advice assistance.If you have book online you will have electronically signed , you understood you needed a patch test 48 hr prior to your treatment but if you decided not to have a patch test your happy to continue without.DISCLAIMERI the undersigned have been offered the opportunity to have a patch test and have been informed i would need one. I am happy to proceed without a patch test and accept full responsibility for any reaction that my occur.
*
Please write I agree on box above
Have you had covid 19?
Yes
No
Signature
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