Medical Info Full name Email Phone number Date of birth Gender Female Male Are you taking any kind of medication topical or oral? Yes No Medical story Allergies Are you pregnant? Yes No do you have any surgery? Yes No More details Do you have metal implants in any part of your body? Yes No More details Do you have a pacemaker? Yes No Have you received botulinum toxin? Yes No Date of last one Have you received dermal fillers? Yes No Date What kind? Desire treatment Skincare Body Treatments Advance Treatments Antiaging Consultation Send Covid-19 Health Declaration Name Last Name Email My body temperature is lower than 98.6°F / 37.5°C I am not experiencing the symptoms: fever, cough, sore throat, shortness of breath. I haven´t been in close contact with a covid-19 patient in the last 14 days. Initials Date I declare that the info I´ve provided is accurate & complete Submit Your moment is now, don't wait any longer and contact us! Make an appointment Book now Contact Us