Topical anaesthetic (numbing cream/gel) CLIENT QUESTIONNAIRE & EVALUATION FORM


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YOU ARE NOT REQUIRED TO MAKE PAYMENT ONLINE.  YOU MAY PAY ON COLLECTION AT ONE OF OUR STORES OR CALL US ON 0755267052 TO ARRANGE DELIVERY AND PAYMENT. Alternatively, you may arrange with your therapist to collect on your behalf.

Please ensure you fill out the name of the clinic where you are booked in for your procedure. 

Thank you !