Brow Correction Request
Name
*
First Name
Last Name
EMAIL
*
Confirmation Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Are you 18 years of age or older?
*
Yes
No
How long ago were your brows last worked on?
*
Do you know what technique was used on your brows previously?
*
Traditional Microblading (blade/scratched in)
Manual Shading (similar tool as microblading, color is tapped in)
Machine Shading (Powder/Ombre/Tattooed by machine)
Unsure
Did you experience any negative side effects during your last brow appointment? Please include any issues that occurred during the procedure or healing process, if any.
Preferred Days
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Preferred Time
*
Morning
Afternoon
Evening
Do you have any allergies?
*
Are you currently pregnant or nursing?
*
Yes
No
Are you currently taking or have you taken Accutane or Doxycycline in the past year?
*
Yes
No
Please upload clear, close up, recent photos of your brows without makeup
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