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Plastic Surgery
BODY
Liposuction in Turkey
Tummy Tuck (Abdominoplasty) in Turkey
360 Liposuction in Turkey
Mommy Makeover in Turkey
Brazilian Butt Lift (BBL) in Turkey
Butt Implant in Turkey
Arm Lift in Turkey
Thigh Lift in Turkey
BREAST
Breast Augmentation in Turkey
Breast Reduction In Turkey
Breast Lift in Turkey
Gynecomastia in Turkey
FACE
Rhinoplasty – Nose Job in Turkey
Facial Rejuvenation in Turkey
Face Lift in Turkey (Rhytidectomy)
Ear Reshaping (Otoplasty) Cost in Turkey
Eyelid Surgery (Blepharoplasty) in Turkey
Brow Lift in Turkey
Hair Transplant Turkey
FUE Hair Transplant in Turkey
DHI Hair Transplant in Turkey
Afro Hair Transplant in Turkey
Hair Transplant for Women in Turkey
Beard and Mustache Transplant in Turkey
Eyebrow Transplant in Turkey
Weight Loss Surgery
Gastric Sleeve in Turkey
Gastric Balloon in Turkey
Obesity Surgery in Turkey
BMI
Cosmetic Dentistry
Porcelain Veneers in Turkey (Hollywood Smile)
Dental Crowns (Tooth Crowns) in Turkey
Dental Implants (Tooth Implant) in Turkey
Teeth Whitening in Turkey
Zoom Teeth Whitening in Turkey
Eye Surgery
Laser Eye Surgery in Turkey
Smart Lens Surgery in Turkey
Before&After
Contact
About
About
How Does It Work?
Blog
Contracted Institutions
All-Inclusive Packages
Ambassador Program Registration
X
Plastic Surgery
BODY
Liposuction in Turkey
Tummy Tuck (Abdominoplasty) in Turkey
360 Liposuction in Turkey
Mommy Makeover in Turkey
Brazilian Butt Lift (BBL) in Turkey
Butt Implant in Turkey
Arm Lift in Turkey
Thigh Lift in Turkey
BREAST
Breast Augmentation in Turkey
Breast Reduction In Turkey
Breast Lift in Turkey
Gynecomastia in Turkey
FACE
Rhinoplasty – Nose Job in Turkey
Facial Rejuvenation in Turkey
Face Lift in Turkey (Rhytidectomy)
Ear Reshaping (Otoplasty) Cost in Turkey
Eyelid Surgery (Blepharoplasty) in Turkey
Brow Lift in Turkey
Hair Transplant Turkey
FUE Hair Transplant in Turkey
DHI Hair Transplant in Turkey
Afro Hair Transplant in Turkey
Hair Transplant for Women in Turkey
Beard and Mustache Transplant in Turkey
Eyebrow Transplant in Turkey
Weight Loss Surgery
Gastric Sleeve in Turkey
Gastric Balloon in Turkey
Obesity Surgery in Turkey
BMI
Cosmetic Dentistry
Porcelain Veneers in Turkey (Hollywood Smile)
Dental Crowns (Tooth Crowns) in Turkey
Dental Implants (Tooth Implant) in Turkey
Teeth Whitening in Turkey
Zoom Teeth Whitening in Turkey
Eye Surgery
Laser Eye Surgery in Turkey
Smart Lens Surgery in Turkey
Before&After
Contact
About
About
How Does It Work?
Blog
Contracted Institutions
All-Inclusive Packages
Ambassador Program Registration
X
MEDICAL HISTORY FORM
1- Full Name
2- Email Address
3- Phone Number
4- What is your Occupation?
5- Address
City
Country
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Afghanistan
Aland Islands
Albania
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French Southern Territories
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Greenland
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Indonesia
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Latvia
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Liberia
Libya
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Lithuania
Luxembourg
Macao S.A.R., China
Macedonia
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Malaysia
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Mali
Malta
Marshall Islands
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Mayotte
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Nigeria
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Paraguay
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Poland
Portugal
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Reunion
Romania
Russia
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Saint Helena
Saint Kitts and Nevis
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Saint Pierre and Miquelon
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Slovenia
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South Africa
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Svalbard and Jan Mayen
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Sweden
Switzerland
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Turkey
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6- Gender
- Select -
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7- Year of Birth
8- Weight
9- Height
10- Have you had a pregnancy before?
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- If you have had a pregnancy please state the number of pregnancies and the date of your last pregnancy
11- Are you currently pregnant?
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No
12- Have you had surgery before?
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No
- If you had surgery please state the type and date
13- Do you use any medication?
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- If you had please specify the name, usage frequency, and dosage of your medication
14- Are you allergic to any food, medicines, or substances? E.g. latex or penicillin.
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- If yes, please provide details
15- Do you smoke?
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-Please specify the frequency and amount of smoking
16- Do you use alcohol?
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-Please specify the frequency and amount of alcohol usage
17- Do you use any narcotic substances?
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-Please state the type, frequency, and amount of substance usage
18- Have you ever tested COVID-19 positive in the last 60 days?
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No
-If yes, please specify the exact date.
19- Are you currently receiving any medical treatment from a doctor/hospital/clinic?
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-If yes, please specify
20- Are you taking any contraception treatment?
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-If Yes, please provide details:
21-Do you have any contagious diseases?
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-If Yes, please provide details:
22- Please state the medical problems you have/had
Asthma
Angina
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Cardiological Problems
Psychiatric Disorder
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H.I.V
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Bleeding Tendency
Thyroid Diseases
Anesthetic Reaction
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Infectious Diseases
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No Medical Problems
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