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AESTHETIC HEALTH INFORMATION QUESTIONNAIRE 2025

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28 votes

The document is an Aesthetic Health Information Questionnaire used by Nurse Jenell, PLLC, to collect personal and medical information from patients seeking aesthetic treatments. It includes sections for patient details, medical history, current medications, and interests in various aesthetic procedures. Additionally, it outlines the clinic's cancellation policy, authorization for the release of photographs taken during treatments, and a Notice of Privacy Practices detailing how patient health information may be used and disclosed.

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2007	4.8 Satisfied (28 Votes)

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