Date of Birth

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Price payable for this session

Quotation and notes regarding the treatments. E.g Quoted customer £99 per session for underarms and face.

I have been advised on how to care for my skin after the AW3® treatments. I will follow the procedure as advised to me. There has been no changes to my health since my last treatment and I am not taking any new medication.

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Input Energy Number

Skin reaction after the treatment