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Lipedema Evaluation Form

This form is prepared by Dr. Yener Demirtaş for online consultation of lipedema in order to evaluate your disease and to offer you an appropriate treatment plan.

You can fill out the form and send your pictures online. Alternatively, you can print the form by downloading as PDF or Word documents, fill it and send as e-mail to info@yenerdemirtas.com

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Doğum tarihinizi belirtiniz!
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Attaching your pictures will be useful for an appropriate evaluation. Your pictures will never be used elsewhere.

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Contact Information

Barbaros Mah. Ihlamur Bulvarı
Ağaoğlu My Newwork, No:3, Kat: 3, D:25
Ataşehir - İstanbul - Turkey

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