Consultation Form

Have you had Microsuction before?

Have you ever had ear surgery?

Do you have any underlying skin conditions such as dermatitis or psoriasis?

Do you suffer from hearing loss, dizzy spells or ringing in your ears since these can be exacerbated by microsuction?

By signing these Terms and Conditions, you confirm that you understand the possible risks and complications of the procedure and agree that Earclarity is not liable for them. You also confirm that you understand your personal information will be stored,