Medical questionnaire Before you embark on any form of laser hair removal, it is essential that you are medically suitable for treatment.
 
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Medical questionnaire
Before you embark on any form of laser hair removal, it is essential that you are medically suitable for treatment.
If you have any of the following conditions or history, you should advise the therapist before you receive any treatment, including any patch tests.
Please advise the therapist if you:
Are receiving treatment (including holistic or alternative) from a Doctor, Hospital, Clinic, Therapist or Specialis.
Are you, or have you been taking any medication either from your Doctor or “over the counter” medicines in the last six months? If so, please give details: (condition / medication / start date / finish date / frequency / dosage)
Do you suffer from any of the following?
Allergies / Cancer (inc skin) / Hyper pigmentation / Latex allergy / Acne Depression / Herpes simplex / Lupus / Asthma / Diabetes / Hypertension / Photosensitivity / Arthritis / Dermatitis / Heart condition / Psoriasis / Autoimmune disease / Epilepsy / Hyperthyroid / Sun burn / Bleeding disorders / Eczema / Keloid scarring / Vitiligo
Any other relevant condition?
Is there any possibility of that you may be pregnant? Are you breastfeeding?
Do you suffer from any acute or chronic skin disease in or near the area you require treatment? If yes, please give details.
Are you on any medication that is not on prescription, e.g. Ibuprofen and St, Johns Wort, Evening Primrose Oil, Starflower Oil?
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