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Get Botox Consent Form

Knowing the risks and hazards involved. This disclosure is not meant to scare or alarm you; it is simply an effort to make you better informed so you may give, or withhold, your consent for treatment. 1. I ___________________________understand that I will be injected with Dermal Filler in the facial area to treat facial lipoatrophy. 2. dermal filler has been FDA approved for use in cosmetic treatments for facial lipoatrophy for patients diagnosed with HIV (Human Immunodeficienc.

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