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MEDICAL HISTORY FORM Last Name:___ First Name:___ Address:___ City:___ State:___ Zip Code___ Date of Birth: ___ Sex:___ Telephone Home: ___ Work:___ Cell:___ Family Doctor:___ Phone:___ Emergency
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How to fill out vi peel - medical
How to fill out vi peel - medical
01
Start by thoroughly cleaning your face with a gentle cleanser.
02
Apply a thin layer of the Vi Peel solution to your face using a gauze pad or brush.
03
Allow the solution to dry completely before applying any additional layers.
04
Repeat the process if instructed to do so by your medical professional.
05
After the recommended time has passed, neutralize the solution by applying the post-peel towelette.
06
Follow any specific instructions provided by your medical professional for aftercare and maintenance.
Who needs vi peel - medical?
01
The Vi Peel - Medical is recommended for individuals who have various skin concerns such as acne, acne scars, hyperpigmentation, melasma, sun damage, fine lines, and wrinkles.
02
It can also be suitable for those who want to improve overall skin texture, tone, and clarity.
03
However, it's important to consult with a medical professional to determine if Vi Peel is appropriate for your specific skin type and condition.
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What is vi peel - medical?
The VI Peel is a medical-grade chemical peel designed to improve the appearance of the skin by promoting skin cell turnover, reducing fine lines, and treating acne scars.
Who is required to file vi peel - medical?
Medical professionals or clinics administering the VI Peel treatment are typically required to file for documentation and compliance purposes.
How to fill out vi peel - medical?
To fill out the VI Peel - medical form, practitioners need to provide patient information, treatment details, and any necessary medical history or consent.
What is the purpose of vi peel - medical?
The purpose of the VI Peel is to enhance skin texture and tone, reduce signs of aging, and treat specific skin conditions like acne and hyperpigmentation.
What information must be reported on vi peel - medical?
The form must include patient information, treatment type, dosage, practitioner details, and any relevant health information regarding the patient.
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