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0 Yes 0 No <br /> Have you had Lasik eye surgery? <br /> 0 Yes 0 No <br /> Any prior permanent makeup? <br /> 0 Yes 0 No <br /> Do you have any other health problems or medical conditions? <br /> 0 Yes 0 No <br /> Requirements for antibiotics prior to surgery or dental procedures.Please Explain <br /> Signature' <br /> Sign above <br /> Date/Tme <br /> Nest <br />