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Hair Transplant
Hair Transplant Turkey
FUE Hair Transplant
Sapphire FUE Hair Transplant
Woman Hair Transplant
Eyebrow Transplant Turkey
Beard Transplant Turkey
Hair Transplant Albania
Plastic Surgery
Rhinoplasty Istanbul
Ear Reshaping Turkey
Facelift
Breast Lift Istanbul
Breast Augmentation Turkey
Breast Reduction Turkey
Brazilian Butt Lift Turkey
Dental
Implant Treatment Turkey
Hollywood Smile Turkey
E-max Veneers Turkey
Weight Loss
Gastric Balloon Turkey
Gastric Band Turkey
Gastric Bypass Turkey
Sleeve Gastrectomy Turkey
Mega Liposuction Turkey
Before & After
Hair Transplant
Plastic Surgery
Dental Treatment
About Us
Blog
FAQ
Prices
Influencer
Hair Transplant
Hair Transplant Turkey
FUE Hair Transplant
Sapphire FUE Hair Transplant
Woman Hair Transplant
Eyebrow Transplant Turkey
Beard Transplant Turkey
Hair Transplant Albania
Plastic Surgery
Rhinoplasty Istanbul
Ear Reshaping Turkey
Facelift
Breast Lift Istanbul
Breast Augmentation Turkey
Breast Reduction Turkey
Brazilian Butt Lift Turkey
Dental
Implant Treatment Turkey
Hollywood Smile Turkey
E-max Veneers Turkey
Weight Loss
Gastric Balloon Turkey
Gastric Band Turkey
Gastric Bypass Turkey
Sleeve Gastrectomy Turkey
Mega Liposuction Turkey
Before & After
Hair Transplant
Plastic Surgery
Dental Treatment
About Us
Blog
FAQ
Prices
Influencer
Hair Transplant
Hair Transplant Turkey
FUE Hair Transplant
Sapphire FUE Hair Transplant
Woman Hair Transplant
Eyebrow Transplant Turkey
Beard Transplant Turkey
Hair Transplant Albania
Plastic Surgery
Rhinoplasty Istanbul
Ear Reshaping Turkey
Facelift
Breast Lift Istanbul
Breast Augmentation Turkey
Breast Reduction Turkey
Brazilian Butt Lift Turkey
Dental
Implant Treatment Turkey
Hollywood Smile Turkey
E-max Veneers Turkey
Weight Loss
Gastric Balloon Turkey
Gastric Band Turkey
Gastric Bypass Turkey
Sleeve Gastrectomy Turkey
Mega Liposuction Turkey
Before & After
Hair Transplant
Plastic Surgery
Dental Treatment
About Us
Blog
FAQ
Prices
Influencer
Medical History
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Date
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Name
*
First
Last
Treatment Type
Age
*
Height
*
Weight
*
List of medications you are currently using (including over-the-counter medications)
*
List of surgeries you have performed before (including plastic surgeries)
*
Date of Intervention
*
Surgical Intervention
*
Use herbal supplements or vitamins (especially Gingko, ginger, garlic, St. John’s Wort, C, E, fish oil)?
*
Medicines that cause allergies
*
Are you a smoker?
*
Yes
No
If yes; For how long?
Are you an alcohol user?
*
Yes
No
If yes; For how long?
Do you have any of the following symptoms?
Chest pain
*
Yes
No
Breast diseases
*
Yes
No
Seizure
*
Yes
No
Heart problems
*
Yes
No
Thyroid problems
*
Yes
No
Tooth problems
*
Yes
No
High blood pressure
*
Yes
No
Hepatitis C
*
Yes
No
Emotional problems
*
Yes
No
Diabetes
*
Yes
No
Kidney problems
*
Yes
No
HIV
*
Yes
No
Cancer
*
Yes
No
Asthma
*
Yes
No
Eye problems
*
Yes
No
Problems with bleeding
*
Yes
No
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