Perfect Contours
Home
Treatments
Prices
Clinic & Surgical Team
Travel & Accomodation
Order of events
Contact

Cosmetic treatments

Dental treatments

Hair Transplant
Price examples:
Tummy tuck from Ł1,300
Rhinoplasty Ł1,200
Breast reduction Ł1,560
 

Read more »

 
MediChecks.com
Perfect Contours - price
 

Medical Questionnaire


The following questionnaire needs to be completed before you can be considered for surgery.

Name:
Surname:
Telephone number:
Your e-mail address:
Your address:
Sex: - Male - Female
Date of birth:
Height:
Current weight:
What type of cosmetic surgery are you interested in?

In order for the surgeon to make a better assessment, please send photographs of area to be treated. Front: 2, Side: 2.
Photographs can be sent via e-mail (info@perfectcontours.hu) or post.
Have you ever undergone any type of surgery? - Yes - No
If yes, please specify with dates:
Do you suffer from any of the following conditions: Asthma, Diabetes, High blood pressure, Thyroid disorders, Any other illness/condition we should be aware of (i.e. HIV, Hepatitis etc), Heart problems? - Yes - No
If yes, please specify:
Allergies (please specify):
Adverse reaction to medicines (specify):
Any negative experiences with anaesthetics? - Yes - No
If yes, please specify:
Medicines (including non prescription, birth control vitamins and antibiotics) you take at present:
Do you smoke? - Yes - No
If yes, how many?
How much Alcohol do you drink? - None
- Daily:
- Occasionally:
Comments or specific questions:

For any type of procedure, the following tests are required. These tests can be performed by your local GP no earlier than two weeks before surgery or, for a small fee, at the clinic in Budapest.

Full blood test including blood sedation and urine tests are necessary for all minor procedures.

For breast surgery and liposuction the following tests are necessary:
Full blood test including blood sedation, urine test, kidney and liver counts, ECG

For tummy tuck and full face lift:
Full blood test including blood sedation, urine test, kidney and liver counts, protrombin, PTI, ECG and chest x-ray.

- I have read and I accept the Terms and Conditions.

Top
Directory

Web design: webmasters