Tattoo Removal

    TREATMENT NOTES

     

    Title:
    Name:
    Surname:
    Address:
    Postcode:
    Telephone Number (Mobile):
    Telephone Number (Home/Work):
    Date of Birth:
    Email:
    Next of Kin:
    Next of Kin Telephone Number:
    Name of GP:

      

    Date Area Wavelength Spot Size Fluence (J/cm2) Changes/Comment Practitioner