Medical Aesthetics Intake Form - Calgary 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your personal information in the designated fields, including your name, date, address, and contact details. Ensure accuracy for effective communication.
  3. Proceed to the medical history section. Fill in your primary family physician's details and indicate if you permit consultation with them. List any current medications, allergies, and past surgeries.
  4. In the lifestyle section, provide insights into your daily habits such as water intake, diet preferences, and exercise routines. This information is crucial for personalized care.
  5. For women, complete the pregnancy-related questions if applicable. This helps in tailoring treatments appropriately.
  6. Finally, review all entries for completeness before signing at the bottom of the form to confirm that all information is accurate and up-to-date.

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