Waxing Intake

Waxing Intake
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Name *

First

Last

Any known allergies? *

Have you been diagnosed with any medical conditions? *

Are you currently or in the last 2 weeks been prescribed Anti-biotics? If so, what? How long have you been on it? Or when did you finish? *

Are you now or in the last six months used: *

Do you have any issues after waxing? If so, what? *

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