smp  south africa


Scalp Micropigmentation Booking For​m 
and Medical History

This document serves as a general intake form to determine the best treatment for you. Please complete this document to the best of your knowledge and as thorough as possible. This will help us to be able to work out the optimal treatment plan, cost and procedure options for you. All information completed below will be kept strictly confidential.

010 500 3135 
064 964 7210
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