COVID VACCINATION FORM

CovidVacc
Did you receive the COVID vaccine?
Which vaccine did you receive (Pfizer or Moderna)?
I acknowledge herby that I can earliest receive Botox/Dysport injections two (2) weeks AFTER the first COVID vaccination and NOT less than two (2)
weeks BEFORE second vaccination.Dermal Filler injections can be received earliest two (2) weeks AFTER the first COVID vaccination and
NOT less than two (2) weeks BEFORE second vaccination. Therefore, I am responsible to postpone my appointment for such treatment accordingly.