Booking Form: Previous Work/ Cover Up

Booking Form: Previous Work/ Cover Up

for an appointment with Monika Salazar at Fresh Cosmetic Studio
This form is to request an appointment for any cosmetic tattooing if you have previous work done. Please fill it out to the best of your knowledge.

Cover ups and re-works can only be accepted case-by-case. I can also provide removal options IF we need to go that route first.
Full Name*

First NamePreffered Name Last Name
Pronouns
Contact Number*
Please enter a valid phone number.
Email Address*
example@example.com
How did you hear about me?
What service(s) have you previously gotten done?*

Microblading/Combo browsPowder BrowsLip blushFaux frecklesMultiple services
When did you get this previous service done?*

0-6 months ago6 months- 1 year ago1-2 years ago2+ years agoOther
Which service are you interested in booking for?*

Microblading/Combo browsPowder BrowsLip blushFaux freckles
Check which may currently apply to you:*
Medical history and medications:*
What general days/times are you available? Is there a specific date/time that you would like to request?
Upload a photo of previous cosmetic work.

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