This concise neurotoxin medical history form helps licensed providers assess patient suitability for wrinkle relaxers like Botox®, Dysport®, Xeomin®, and Jeuveau®. It includes questions on medical history, prior injections, allergies, medications, and neuromuscular conditions. Ideal for aesthetic and medical clinics, this tool supports informed decision-making, treatment safety, and EMR documentation.

Download now to streamline patient intake and enhance the safety and efficiency of your neurotoxin services.