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MADA Clinic and spa

The Best Laser and Skin Clinic in Dublin

Advanced treatments

Natural results
Men and Women

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Follow Up Form

Please take a moment to fill out the form.

First name

Last name

Birthday

Email

Phone

When was your last sun / sun beds exposure or fake tan application?

Have you had any medical changes since your last treatment? New diagnoses or medications?

Are you pregnant or breast feeding?

Have any conditions changed since completing your last consultation form?

Date of signing

Your Signature

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Opening hours

(Monday, Sunday by appointment)

Monday : 11am-7pm

Sunday: 11 am- 7pm

Tuesday- Friday: 11 pm - 8pm
Saturday: 10 am-6 pm

Address: Unit 2, Block E, Thundercut Alley, Queen St, Smithfield, Dublin 7, Ireland

Customer Service

Email: info@madaclinicspa.com

Phone: 01 575 9865

089 982 7061

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