Before & After Photos Submission

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Plasma Concepts

Before and After Photo Submission

Your Name: *

We will add your name and credit your photo

Device Used: *

Time interval between the two photos: *

Number of treatments: *

Has this patient received any other combination therapies? *

Please list other therapies used:

Did patient provide consent? *

Patient must have consented to the submitting practitioner

Upload Proof of Customer Consent:

Click or drag a file to this area to upload.

Upload before and after photo: *

Click or drag files to this area to upload. You can upload up to 3 files.

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800 W Cummings Park Woburn, MA 01801