JM Studio
Client Record & Medical Information
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Client Record
- Full Name.
- Date of Birth.
- Phone Number.
- Email.
- Emergency Contact.
- Emergency Phone Number.
- Initial Appointment Date.
- Referred By.
Medical Information
- Allergies/Medical Conditions.
- Medications.
- Wears Glasses: Y / N.
- Wears Contact Lenses: Y / N.
- Eye Sensitivity: Sensitive / Not Sensitive.
- Skin Type: Oily / Normal / Dry.
- Patch Test Date.
- Patch Test Result.