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- Click ‘Get Form’ to open the ulthera PDF in the editor.
- Begin by entering your personal information in the designated fields, including your name, current date, home address, phone number, email address, date of birth, gender, weight, and height.
- Fill out the medical and surgical history section. For each question regarding conditions like open wounds or severe acne, select 'YES' or 'NO' as applicable.
- In the medications section, list all medications or supplements you are currently taking. If none, check the provided box.
- Complete the self-exam section by circling appropriate responses for clinical factors such as age and smoking history.
- Finally, review all entries for accuracy before signing at the bottom of the form. Ensure both patient and physician signatures are included.
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