Inquiry + Photo Uploads Form

Service Inquiries & Photo Uploads
Welcome whether you're reaching out after breast reconstruction, a cosmetic procedure, or to explore scar/stretchmark camouflage, I want you to know you're in caring and experienced hands. I've been specifically trained to work on scar tissue and provide restorative tattoos, including areola and nipple tattoos post-mastectomy.

Kindly complete this form and upload clear photos so I can understand your needs and provide you with a preliminary price quote.

Thank you and I look forward to serving you!
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Which service (s) are you interested in? (select all that apply)*

Submitting My Progress PhotosScar or Stretchmark Camouflage TattooScar / Stretchmark- Inkless Treatment3D Areola and Nipple Tattoo - Mastectomy or Top Surgery PatientAreola Scar Camouflage - Cosmetic Surgery ClientsSaline Brow Tattoo Lightening/Emergency Removal
TWO LOCATIONS TO SERVE YOU: I am happy to be able to offer services at two convenient locations, that being Lake Forest CA. (OC) and Riverside CA - Please note that although I am an artist at both, I hold different contracts with each studio and therefore all deposits and pre-paid services need to be perforned at the booked location. Deposits and services cannot be transferred from one studio to the other. Thank you for your understanding.
Which location do you prefer to come into?*
Riverside Studio - Availability on Weekends Only
How did you hear about Evolve Med Ink?*
If someone referred you please let us know who so I can thank them!
Please take pictures in good lighting. If possible close to a window with good natural lighting and include one close up. Thank you
Upload your photo

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Additional Photo Upload

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Additional Photo Upload

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File Upload

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Please tell me a little about your procedure(s), how long ago was your last surgery and what about your scars/stretchmarks or areolas do you dislike and what would you like to achieve. Also, please list your availability for appointments and best way to get in touch with you
PLEASE COMPLETE IF YOU ARE INQUIRING ABOUT SERVICES AND/OR PRICING
Thank you for your inquiry and I will be in contact with you shortly!
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Service Inquiries & Photo Uploads

Please take pictures in good lighting. If possible close to a window with good natural lighting and include one close up. Thank you

Thank you for your inquiry and I will be in contact with you shortly!