Online Consultation

Form
Online Consult

To be completed before scheduling. Once completed, proceed to Online Scheduling.
You are not a candidate for permanent makeup if: you are under 18, you are prone to keloid scarring, are pregnant/nursing, or are taking certain blood thinners.

Permanent makeup should only be applied if you have been OFF of Accutane for 12 months, and completely OFF of any lash serums (if you are interested in eyeliner) for at least 6 months. Severe swelling and bleeding can occur during treatment if on any of the above during procedure.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth*
Cosmetic tattooing may only be applied to those 18 and older.
Driver’s License #*
To confirm date of birth if needed.
Referred By:*

Google searchInstagramAnother artistFriend or family
If referred by another artist, friend or family, please note full name.
Please mark all that apply:*

I am allergic/sensitive to LidocaineI am allergic/sensitive to LatexI have been pregnant in the last 12 monthsI am currently pregnant or breastfeedingI am undergoing hormone replacementI have a thyroid conditionI am on thyroid medicationI frequent tanning bedsI use exfoliating facial products dailyI wear contact lensesI am prone to cold sores/herpes/fever blisters*I am taking prescription blood thinning medicationI have a blood borne illnessI have uncontrolled high blood pressureI have had previous Permanent Makeup (If Yes, please complete the section below to specify procedure type, how long ago and remaining color)I am diabeticI am currently using eyelash enhancing serums, or I have in the last 6 monthsI have been on Accutane in the last 12 monthsI have had shingles on my faceOther
I am interested in:*

New BrowsBrow Touchup or CorrectionNew Lash Enhancement EyelinerLash Enhancement Liner Touchup
Please list all medications, vitamins and supplements that you regularly take. Certain medications will affect the process and/or the procedure itself. Please include all prescription and over the counter medications.
All blood thinning medications and supplements should be discontinued for 7-14 days prior to your appointment.

***ALWAYS consult with your physician before stopping use of prescription medication. If you are unsure of one of your supplements or medications, please call your physician for clarification.
Some examples of blood thinning medications and supplements:
- Coumadin
- Plavix
- Aspirin
- Fish Oil
- Turmeric
- Vitamin B6
- Vitamin E
- Omega 3 Fatty Acids
- Coenzyme Q-10
- Cranberry
- Dong quai (or Angelica)
- Garlic
- Ginger
- Ginkgo
- Ginseng
- Glucosamine
- Green tea
- Lycium tea
- Melatonin
- Soy products
- St. John's Wort
Consult with your doctor if you are on prescription blood thinners. You may only be a candidate for Permanent Makeup IF your doctor determines you can safely stop blood thinners for 7-14 days prior to your appointment.
Signature*

I have read the above and fully understand that if I am on prescription blood thinners I MUST consult my doctor before stopping use. If I am unable to safely discontinue use prior to appointment then I may not be a candidate for permanent makeup. Clear
Previous Permanent Makeup: Which procedure, how long ago, and and how much color remains.
Previous work that is too heavily saturated will likely be referred out to consult with Permanent Makeup Boise about removal. Areas that hold too much pigment may not be able to hold more without removal. Serious corrections will also be referred out.
Please attach a BRIGHT, CLEAR, and MAKEUP FREE photo of your brows, if you are interested in a New Brow or Brow Touchup procedure.

This is left “optional” for those interested in liner procedures. But pictures are important for brow procedures so that your technician has time to prepare pigment options specifically suited to your skin tone. Please do not skip this. If skipped, you will be asked before your scheduled appointment. It will not be shared.
File Upload

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Signature*

I have answered all of the above questions honestly and to the extent of my knowledge. I understand that not being forthright and honest about my medical history and background could negatively affect my procedure outcome. I agree to read and accept all policies of Precision Beauty & Brow that are made available via PBB’s website and additional pre-appointment Intake Form. I, furthermore, understand that I may not be a candidate for permanent makeup, or my desired outcome may not match PBB’s artistic and ethical boundaries which may result in being referred out. Clear
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Form

Online Consult

You are not a candidate for permanent makeup if: you are under 18, you are prone to keloid scarring, are pregnant/nursing, or are taking certain blood thinners.

All blood thinning medications and supplements should be discontinued for 7-14 days prior to your appointment.

Consult with your doctor if you are on prescription blood thinners. You may only be a candidate for Permanent Makeup IF your doctor determines you can safely stop blood thinners for 7-14 days prior to your appointment.

Please attach a BRIGHT, CLEAR, and MAKEUP FREE photo of your brows, if you are interested in a New Brow or Brow Touchup procedure.