Begin Your Skin Journey

The information I have given on this form is, to the best of my knowledge, complete and correct. I confirm that I have not knowingly withheld any medical, surgical, or medication information that may be relevant to my treatment. I understand that providing inaccurate or incomplete information may affect the safety or suitability of any treatment offered. Data protection consent - I understand that the medical information provided in this form is classed as special category data under UK GDPR, and that Dr Janice Brown Aesthetics & Skin will process it solely for the purpose of assessing my suitability for treatment and providing safe clinical care. I consent to this information being securely stored as part of my clinical record. Photo consent - I consent to clinical photographs being taken and stored as part of my medical record for treatment planning and monitoring purposes. These will not be used for marketing or shared externally without my separate, explicit consent.