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The required Annual Medical Examination ensures you are a good candidate for treatment and there are no safety concerns. If you are not approved for treatment, you will not be charged for the examination. Please note, there is a one-time new client Intake Registration fee. This fee covers the administrative costs of collecting client demographics, form completion, payment methods, and other key pieces of information to best serve you. Check out our webpage for current deals and promotions at www.bluegrassrefreshmedspa.com