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Renew Medspa Wellness

Please fill out the following form

Have you been told that you need to start dialysis or are you currently on dialysis?
Are you taking or have you been told you need to take Digoxin?
Are you of African, Midde Eastern or Asian descent? (G6PD screening fo Vitamin C infusion)
Have you been told you have a decreased GFR or kidney problem?
Do you have any of the followng conditions?

Thanks for submitting!

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