Vanquish Client Intake Form

Please completely fill out the form or download the form, print, fill out, and bring with you to your appointment.

Vanquish Client Intake Form Download
[ARForms id=105]

    You are scheduled for a series of non-invasive treatments with the BTL VANQUISH ME.
    Check the following boxes if you agree:

  • Please answer whether you currently have or have had any of the following:

  • If you answered YES to any of these questions, please specify:

    For the full range of contraindications, warnings and cautions, consult your treatment provider.
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