Medical Conditions


Please disclose whether taking any medications or suffering from any medical condition. Medications or substance such as aspirin, alcohol, consumed the day of or the before may interfere with the operation. This may cause the cancellation of the operation.

Allergy/Hay fever
Keloid scarring or difficulty healing
Kidney disease
Asthma or wheezing
Kidney stone or blood in urine
Liver disease or jaundice
Back problems/pain
Bleeding tendency/clotting
Neuritis (inflammation of the nerve)
Bone or Joint deformity
Breathing difficulty
Pain in shoulder, arms or hands
Broken bones/bone disease
Palpitation or pounding heart
Peptic ulcer/stomach ulcer
Cancer, cyst, growth or a tumour
Phlebitis of vein
Problems during a surgical procedure
Chest pain or pressure
Psychiatric/emotional problems
A chronic cough

Sexually transmitted disease
Excessive tiredness or fatigue
Skin rash/disease
Shortness of breath
Swelling of ankles or feet
Frequent or severe headaches
Swollen or painful joints
Thyroid trouble
Head injury
Tightness in chest
Heart murmur/mitral valve prolapse
Heart trouble/disease
High blood pressure
Hormonal problems
Coughing or vomiting blood
Rheumatic Fever
Dizziness/fainting/passing out spells

Non-disclosure can result in deferring the operation date or cancellation. Cancellation can result in additional cost to the client including the loss of the initial deposit. Hair Restoration Europe reserves the right to amend the terms and conditions at any time and without prior notice. For more information please refer to the Booking Terms and Conditions.

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