Consultation Form

    Personal Details

    Medical Details

    Do you have any of the following?

    If you have said yes to any of the above, please list relevant details below:

    Are you currently taking medication?

    If you have said yes to the above, please enter details below:

    Have you had any recent surgical operations (within 5 years)?

    If you have said yes to the above, please list details below:

    Have you had any dermal fillers, muscle relaxant injections, tattooing/cosmetic tattooing, Laser/IPL hair removal, Skin rejuvenation treatments within the last 3 months?

    If you have said yes to the above, please list details below:

    Have you had any chemical peels, micro needling, dermaplaning, electrolysis or any other beauty treatment within the last 2 weeks?

    If you have said yes to the above, please list details below:

    Declaration

    Opening Times

    Monday: 9am – 5pm
    Tuesday: 10am – 8pm
    Wednesday: 9am – 5pm
    Thursday: 10am – 8pm
    Friday: 9am – 5pm
    Saturday: 9am – 2pm
    Sunday: Closed

    Parking Information

    The sign for MC Laser and Skin Care Clinic will be visible at the entrance to the property. If arriving by car, please park at one of the allocated marked spaces on your right as you pull into the driveway. Once parked make your way down the side of the property by the conifers towards the rear where you will find the clinic. Go through the large double gate straight in front and then follow the path to access the clinic via the side door to the waiting room. Once inside please make yourself comfortable.