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LATISSE MEDICAL HISTORY & CONSENT FORM

Latisse Solution for longer, fuller, darker lashes

LATISSE is the only treatment approved by the FDA for inadequate or insufficient eyelashes. Prior to ordering Latisse, you must complete and sign the Medical History Consent form along with calling our office for a phone consultation to overview your Medical History and to decide whether Latisse is good for you. (Telephone: 540.774.5505) Authorize your purchase CLICK HERE TO DOWNLOAD FORM

Price: $145.00