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  • Laser/IPL

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  • List the skincare products you are using and how often you use them
    Cleanser:       
    Toner:
    Moisturiser:    
    Eye Cream/Gel:  
    Serum:    
    Exfoliator:  
    Do you use daily Sun protection factor   
    If yes list product and factor  
    Are you taking any skin supplements?   
    Have you had any issues with your skin in the past?    
    Are you using any other products on your skin not mentioned above         

  • If you answered yes to the above question when was the last time you used a sunbed

  • How much water do you drink daily

  • If you answered Yes to the above question Ensure you do not smoke within 2 hours of vein treatment.

  • If you ticked any of above give details      

  • Are you currently being treated for a condition not listed If so what?

  • If you ticked any of above give more details .

  • If you ticked any of the boxes above please give details

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  • If You have ticked any of the above please give details here

  • If you answered yes above. Give details      

  • If you ticked any of above please give details

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  • Jennifer Sweeney

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