{"id":1209,"date":"2021-02-17T14:41:42","date_gmt":"2021-02-17T19:41:42","guid":{"rendered":"https:\/\/www.lenoxesthetics.com\/?page_id=1209"},"modified":"2022-02-16T11:34:36","modified_gmt":"2022-02-16T16:34:36","slug":"neurotoxin-therapy-consent-form","status":"publish","type":"page","link":"https:\/\/www.lenoxesthetics.com\/?page_id=1209","title":{"rendered":"Neurotoxin Therapy Consent Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1209\" class=\"elementor elementor-1209\">\n\t\t\t\t\t\t<div class=\"elementor-inner\">\n\t\t\t\t<div class=\"elementor-section-wrap\">\n\t\t\t\t\t\t\t\t\t<section data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-section elementor-top-section elementor-element elementor-element-4e78de7d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4e78de7d\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-544e47fd\" data-id=\"544e47fd\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-aff6173 elementor-widget elementor-widget-shortcode\" data-id=\"aff6173\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\">\n                <div class='gf_browser_gecko gform_wrapper' id='gform_wrapper_9' ><a id='gf_9' class='gform_anchor' ><\/a><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_9' id='gform_9'  action='\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F1209#gf_9'>\n                        <div class='gform_body'><ul id='gform_fields_9' class='gform_fields top_label form_sublabel_below description_below'><li id='field_9_1'  class='gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible' ><center><img decoding=\"async\" src=\"https:\/\/www.lenoxesthetics.com\/wp-content\/uploads\/2021\/02\/Screenshot-2021-02-18-at-12.27.17-AM.png\"><\/img><\/center><\/li><li id='field_9_2'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_9_2' >None of these conditions apply to me. Initials:<\/label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_9_2' type='text' value='' class='medium'      aria-invalid=\"false\" \/><\/div><\/li><li id='field_9_3'  class='gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible' ><center><img decoding=\"async\" src=\"https:\/\/www.lenoxesthetics.com\/wp-content\/uploads\/2021\/02\/Screenshot-2021-02-18-at-12.30.12-AM.png\"><\/img><\/center><\/li><li id='field_9_4'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_9_4' >Glabella Lines (between eyebrows)<\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_9_4' type='text' value='' class='medium'      aria-invalid=\"false\" \/><\/div><\/li><li id='field_9_5'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_9_5' >Perioral Lines (around the mouth)<\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_9_5' type='text' value='' class='medium'      aria-invalid=\"false\" \/><\/div><\/li><li id='field_9_6'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_9_6' >Crowsfeet<\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_9_6' type='text' value='' class='medium'      aria-invalid=\"false\" \/><\/div><\/li><li id='field_9_7'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_9_7' >Forehead Lines<\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_9_7' type='text' value='' class='medium'      aria-invalid=\"false\" \/><\/div><\/li><li id='field_9_8'  class='gfield field_sublabel_below 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