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Zen Stress Patch
  • Zen Stress Patch
  • Zen Stress Patch
  • Zen Stress Patch
  • Zen Stress Patch
Zen Stress Patch
$30.00

Latisse Patient Consent Form

Thank you! Your medical questionnairehas been submitted successfully.
Please fill out all required fields.

1. Ocular History (Eyes)

Are you currently using any prescription eye drops for Glaucoma or ocular hypertension? (e.g., Lumigan, Xalatan, Timolol)
Have you ever been diagnosed with high eye pressure (Ocular Hypertension) or Glaucoma?
Have you had any eye surgery in the last 6 months (Cataract, LASIK, etc.)?
Do you have a history of eye inflammation (Uveitis or Iritis)?
Do you have any active eye infections or chronic "dry eye" symptoms?
Do you wear contact lenses? (Note: Lenses must be removed before application)

2. Medical History

Do you have any known allergies to Bimatoprost or other prostaglandins?
Are you currently pregnant, planning to become pregnant, or breastfeeding?
Do you have a history of skin sensitivity or eczema on your eyelids?

3. Informed Consent & Risks

Please initial next to each point to acknowledge you understand the potential side effects:

Permanent Pigmentation: I understand that Latisse may cause increased brown pigmentation of the colored part of the eye (the iris), which is likely permanent.
Skin Darkening: I understand that darkening of the eyelid skin may occur but is typically reversible if the product is discontinued.
Hair Growth: I understand that hair growth can occur in any skin area that Latisse frequently touches; I will blot any excess solution.
Common Irritation: I understand that eye redness, itchiness, and dryness are common side effects.

Patient Attestation

I certify that the information provided above is true and accurate to the best of my knowledge. I have been informed of the potential side effects and the proper application technique.

Details

Are you stressed about work, school, or just life in general? Let our Calm/Relaxation patch help you relax without feeling drowsy. Packed with herbal ingredients like Ashwagandha to reduce anxiety, Gaba for a calm feeling, and Gotu Kola to boost brainpower, wearing this patch will feel as comfortable as a friendly shoulder to lean on to ease your nerves when life gets stressful.

Each package contains a 28-day supply of Patches.


Ingredients:

 * Ashwagandha  (8.5mg) to reduce anxiety and stress 
 * Gaba (4mg) to calm and reduce the activity of your busy neurons 
 * Gotu Kola (4.5mg) to boost brain power 
 * L-theanine (2mg) to relax you without making you feel drowsy 
 * Hop Flower Power (1mg)to ease restlessness and tension 
 * Magnesium BHB (1mg) to reduce stress and improve your sleep quality 
 * Eucalyptus oil (1mg) for a fresh, minty smell 

Product details

• Made in United States
• Ingredients: Ingredients:

 * Ashwagandha  (8.5mg) to reduce anxiety and stress 
 * Gaba (4mg) to calm and reduce the activity of your busy neurons 
 * Gotu Kola (4.5mg) to boost brain power 
 * L-theanine (2mg) to relax you without making you feel drowsy 
 * Hop Flower Power (1mg)to ease restlessness and tension 
 * Magnesium BHB (1mg) to reduce stress and improve your sleep quality 
 * Eucalyptus oil (1mg) for a fresh, minty smell 
• Product Language: English
• Weight: 2.24 oz (63.5 g)
• Dimensions: 7 x 4 x 0.8 in (17.8 x 10.2 x 2 cm)
• SKU: 00850031081017
• GTIN: 850031081017

Eco-friendly information

Packaging: Recyclable and Recycled

Production: Cruelty-free, Ethically sourced, and Fair trade
Materials + Care

We prioritize quality in selecting the materials for our items, choosing premium fabrics and finishings that ensure durability, comfort, and timeless appeal.
Shipping + Returns

We strive to process and ship all orders in a timely manner, working diligently to ensure that your items are on their way to you as soon as possible.

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