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Forms

Patient Intake Form

Informed Consent Form

Patient's Measurements

Supplies

MyoTape Body Tape Measure

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Eye Protection Goggles

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Disposable Drape Sheets

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The LipoMelt System is not intended for use in the diagnosis of a disease or any other condition or in the cure, mitigation, treatment, or prevention of disease,

and are not intended to affect the structure or function of the body. This program is cosmetic in nature and does not claim to impart any health benefits.

The statements on this web site have not been evaluated by the Food and Drug Administration.

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