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Siit PRO HEALTH QUESTIONNAIRE

The following information is required to ensure your health and safety. The questions below outline any medical information that might impact treatment. These details will be treated in the strictest confidence.

CONTACT INFORMATION

Birthday
Month
Day
Year

MEDICAL HISTORY & DETAILS

Have you or are you currently experiencing any of the following?  

(Please check the box and give more details where necessary)

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Do you have any allergies?

What else can be Treated

The Siit Pro can be used to treat a variety of skin irregularities including:

 

  • Solar Lentigines

  • Clogged pores 

  • Acne cysts

  • Skin tags 

  • Milia

  • Cherry Angiomas

  • Sebaceous Hyperplasia 

  • Seborrheic Keratosis And more!

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