Microneedling & Nano Infusion Consent

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By signing this form I acknowledge that all my questions and concerns have been answered about Microneedling or Nano Infusion. This form is valid until all or part is revoked by Meredith Brooke Salon and any of its affiliates in writing. 

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MICRONEEDLING 

To better assist you and make sure you're a candidate for Microneedling please tell us more about your skincare journey.

Please email any photos of your facial skin in the areas you want treatment . 

Please also email photos of any facial products you're currently using, with the ingredient label. 

Please email your photos to:
info@meredithbrookesalon.com

Thanks for submitting!