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INFORMED CONSENT FOR BOTULINUM TOXIN INJECTION () FOR THE TEMPORARY TREATMENT OF SUPERFICIAL FACIAL WRINKLES I, consent to and authorize Christine Gilliam, M.D. to perform treatment with botulinum

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How to fill out informed consent for botulinum

01

Read the informed consent form thoroughly.

02

Make sure you understand all the information provided in the form.

03

Fill in your personal information accurately, including your name, address, and contact details.

04

Answer any medical history questions as truthfully as possible.

05

If you have any questions or concerns, consult with your healthcare provider or the administering professional.

06

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Who needs informed consent for botulinum?

01

Individuals who wish to receive botulinum treatment need informed consent.

02

Patients above a certain age, determined by healthcare regulations, may also need informed consent from a legal guardian or proxy.

03

Anyone undergoing botulinum treatment for the first time or for a specific medical condition should obtain informed consent.

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