Consultation Form- Pemanent Makeup

Consultation Form: Cosmetic Tattoo Service

New Client
Name*

First NameMiddle NameLast Name
Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Date of birth:*

MonthDayYear
Date
When are you available for appointment:*

WeekdaysMorningWeekendsAfternoon
Would you like to schedule a consultation?*

Yes, I'd like to book a complimentary 15min phone consultation to ask additional questions.Yes, I'd like to book a brow waxing & shaping service and ask questions prior to booking. (Service fee applies-$30. This service fee is waived if Brow service is booked on the same day.)No, I did my research and checked portfolio pictures. I am ready to book!I'd prefer to receive more information via email
Select the procedure desired: *

Consultation with Brow Design, Waxing & ColorHenna Brows and Brow WaxingMicrobladingPowder Brows (Shading)Fusion Brows (Microblading and Shading)Lip BlushLash Lift & TintLash Extensions
Please check if you are allergic to any of the following:
Have you previously had Cosmetic tattoo done by another artist? If yes, how long ago?*
Previous work may need to be around 90% faded. Some may need lightening before scheduling a brow service. Not all previous work may be correctable. Some corrections may need additional sessions of neutralization, cover up. Touch ups only applies to work done at ILASH CT. Work done by another artist requires a consultation. Additional sessions and price may apply.
How much brow hair would you say you have?*

Near-full or FullFull eyebrows, but thinHair near head of the brows, but little or no endsVery little or None
What do you like or dislike about your Brows? Lips?*
How would you describe your skin?*

OilyDryNormalCombinationSensitive
Do you have any moles or scarring on your eyebrows?*
Please check if you take any of the following product(s) daily:*

Fish oilAspirinBlood thinnersAccutaneRetinAAnti-aging Creams
Are you pregnant/ or nursing/ or planning?*
Do you have any of the following conditions/ or have you being treated for?*

Prone to Cold SoresHemophilia (healing problems)DiabetesHigh blood pressureCancer (in the last 6-12 mon or undergoing Chemo)Eczema in the faceTake hormonal replacementRosaceaProne to keloidsSeborrheic dermatitisI had cold sores 1 once or more in the pastNone
This service is not a one time service. It requires an optimization appointment. Do you have any plans to go on a Vacation trip/ tanning/ swimming/ wedding event/ photo shoot taken/ Anniversary trip, soon? If yes, What are the Dates?*
Please Send a close up Photo of your Brows or Lips Without Makeup to (860) 849-6881 or ilashct.info@gmail.com. Make sure there is good lighting. Hold the camera about 6 inches from your face. The picture should be able to show both eyebrows. Don't forget to remove your glasses and remove your makeup. Sample is shown below. Please see image #1. You will receive a reply within 24-48 hours Monday- Friday. Don't forget to check your Spam folder. If you don't receive a message back, it means the information was not received. Please call/text me at (860)849-6881. It may be a problem with the app.
How to prepare for service?
- Bring your brow or lip makeup to the appointment
- Appointments generally take between 3-4 hours, please plan accordingly. You can bring a light jacket and snacks. Make sure you eat well prior to srrival.
- The healing process takes about 7-10 days. It is recommended to schedule your appointment after vacations and special events as you cannot tan, perform intense exercise, or wear makeup the day of the service and days following your appointment.
- Avoid aspirin, alcohol, drugs 24 hrs prior to service as these increase blood flow and bleeding. Excessive bleeding dilutes the pigment during the procedure and will negatively impact results. In some cases, the application will need to be prematurely stopped or ill require an additional session.
- Do NOT pick/tweeze/wax/perform electrolysis 1 week before the procedure.
- Do NOT tan 1 week prior to the service, or have a sunburned face.
- Do NOT have any type of facial service 4 weeks prior to the procedure.
- Do NOT have Botox 3 weeks prior and 3 weeks after the procedure.
- Do NOT tint your eyebrows 7 days prior to the procedure.
- It is best to wait until your skin is Not sunbirned before booking in for a procedure.
- The shape of the eyebrows/ lips is calculated according face morphology and features. Come ready to relax when you first come in for service. It is more easy to do the measurements when the eyes are closed and relaxed.
- The pigment is chosen to match the natural hair of the eyebrows color. An app is used to calculate balance between the brows while the client’s eyes are closed, because in that way brow muscles are relaxed, and measurements are more precise. Color will vary from client to client.
- Guests are Not allowed during service due to the nature of the service.
- It is very important to follow aftercare. This is a team effort! You will need a neutral soap to keep the brow area clean and free from bacteria. Please refer to Aftercare instructions: https://www.ilashct.com/brows-microblading-care Let me know if you have any questions 860-849-6881
Deposit Required:

A $75 deposit is required to hold the appointment. This deposit goes towards your service and it is Non refundable. If you are more than 15 mins late to your appointment, client will forfeit deposit, appointment and a new appointment with a new deposit will be required to reschedule at a different day. Cancellation fee $75 will apply if the optimization appointment is missed.

Payment:

ILASH CT studio accepts Apple pay, Visa, Mastercard and cash.

*Cancellation Policies
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Consultation Form: Cosmetic Tattoo Service

How to prepare for service?

Deposit Required:

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