A printable pdf of the facial rejuvenation health history form 2025

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The document is a Facial Rejuvenation Health History Questionnaire from the Winchester Center for Acupuncture & Health. It collects personal and health information from clients to assist in evaluating their suitability for microcurrent facial treatments. The questionnaire includes sections on facial evaluations, health history, current medications, lifestyle habits, and emergency contact details, ensuring confidentiality of the provided information.

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