Think Fast Drip Form

 
TKH2O Pro Flo Master Name *
TKH2O Pro Flo Master Name
Client Information
Client Name
Client Name
Date
Date
Date of Birth
Date of Birth
Olympia Vita Complex
100 mg/ml 3ml - 5 ml
Amino B12
*IF FIRST DRIP START WITH 3ml, 2nd + may give 5ml
Time IV Started
Time IV Started
Time IV Ended
Time IV Ended
Date
Date