Optimal Weight Loss Institute

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× Malpractice Insurance Disclaimer & Notice of Privacy Practices Malpractice Insurance Disclaimer & Notice of Privacy Practices $50.00
$50.00
× Skin Lesion Removal Consent Form Skin Lesion Removal Consent Form $50.00
$50.00
× Facial - Microdermabrasion - Chemical Peel Informed Consent Facial / Microdermabrasion / Chemical Peel Informed Consent $50.00
$100.00
× NAD+ (Nicotinamide Adenine Dinucleotide) Injections - IV Therapy Consent NAD+ (Nicotinamide Adenine Dinucleotide) Injections / IV Therapy Consent $50.00
$50.00
× Intravenous-IV-Infusion Intravenous (IV) Infusion Therapy Consent Form $50.00
$50.00
× Steroids Use Informed Consent Steroids Use Informed Consent $50.00
$50.00
× Patient Skin Intake/Consultation Patient Skin Intake/Consultation $100.00
$100.00
× Patient Medical History Form Patient Medical History Form $100.00
$100.00

Cart totals

Subtotal $550.00
Tax $0.00
Total $550.00
Proceed to checkout