Patient Medical History – Laser Treatments



































  • SKINCARE

  • Skin Background

  • Select one (when exposed to the sun without protection for approximately 1 hour):
    Check one (when exposed to the sun without protection for approximately 1 hour):












  • I understand that ANY type of sexual harassment/misconduct is absolutely forbidden. This is defined but not limited to the exposure of any body parts in the “bikini area” (unless I am doing a Brazilian/Bikini treatment), inappropriate touching, sexual innuendo’s, aggressive come-ons, comments about my providers physical appearance or comments which would make my provider fearful or uncomfortable. I also understand that failure to adhere to this policy will result in a lifelong ban from the facility.
  • I certify that the above medical history information is accurate and correct

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  • Coral Medical Spa

    1400 Provincial Road, Windsor Ontario,
    Canada N8W 5W1
    Call us at (519) 969-1554
    Email: info@coralspa.com

  • HOURS OF OPERATION

    Mon 9:00am-6:00pm
    Tue-Thu 9:00am-8:00pm
    Fri 9:00am-6:00pm
    Sat 8:00am-4:00pm
    Sun Closed

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