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Contact Plasma-Med Dublin

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Contact Form

Connect with our clinic for appointments, treatment information, or general assistance. We’re here to support you and answer any questions regarding our services.

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For more detailed guidance, please check our Treatment FAQ page.

Purpose of contact

Medical Intake Form

Which Intake Form Do I Need?

To ensure your treatment is safe and tailored to your needs, we require all clients to complete an Intake Form before their appointment.
Different treatments may require different forms - simply find your booked service below and click the matching Intake Form button.

If you are unsure which form applies to your service, feel free to contact us and we’ll be happy to guide you.

This form applies to the following treatments:

  • Carbon sauna

  • Collagen threads

  • Hydrafacial

  • Hydrogen Molecular Therapy Bundle

  • Hydrogen Molecular Therapy / Inhalation

  • Pressotherapy


This form applies to the following treatments:

  • 24 K Gold Facial Stamp

  • BB Shaper - Endermology Body Full

  • BB Shaper - Endermology Face Treatment

  • BIO Peeling Abyss

  • BTL Emsculpt

  • Carbon peeling

  • Carboxytherapy Face/Body

  • CoolllLifting

  • Cryolipolysis

  • Endermology Body Target Area

  • Fat dissolving

  • Green + Red Laser Lipo + BOA

  • HIFU 3D Face/Body

  • IM B12 INJECTION

  • IPRF Fibrin

  • Kiss eyes radiofrequency

  • Laser hair removal - 1 treatment

  • Laser hair removal - bundle

  • Laser tattoo removal

  • Laser veins removal

  • Mesotherapy needle

  • Microneedle Dermapen

  • PRF Hair Regrowth Treatment

  • PRP Hair Regrowth Treatment

  • RF Microneedling - Single Session

  • Scars removal

  • Vampire face lift

This form applies to the following treatments:

  • Naturopath Consultation Online

  • Integrative Support Consultation

  • Naturopath Bioresonance

This form applies to the following treatments:

  • Integrative IV Nutritional Support

  • Vitamin C - 25 g , 50 g , 75 g

This form applies to the following treatments:

  • RELAX IV – Stress Relief

  • FOOD POISONING IV

  • IV Vitamin drip therapy FIRST VISIT

  • AFTER PARTY IV - RECOVERY THERAPY

  • ENERGY IV

  • Mobile Vitamin Drip Therapy Dublin

  • Liver Support IV

  • BEAUTY IV – Skin Glow & Anti-Aging

  • IV GLUTATHIONE WHITENING

  • VITAL IV – Immunity

Medical Intake Form FAQ

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