Brow Lamination and Tint Consultation Form
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Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Service
Brow Lamination
Brow Tint
Are you currently taking any skin routine such as applying AHA, BHA, Retinol (ex. anti-aging skin prosecutors)?
yes
no
Have you had reactions to previous brow lamination or lash lift?
yes
no
Did you have microblading or any semi-permanent brow procedure in the last 2 months?
yes
no
Are you taking any skin medication (i.e., Accutane)?
yes
no
Did you have microblading or any semi-permanent brow procedure in the last 2 months?
yes
no
Do you have a wound, scar tissue, or pimple in the area to be treated?
yes
no
Are you pregnant or currently breastfeeding?
yes
no
Do you have a very sensitive skin?
yes
no
Have you had reactions to previous brow tint or henna service?
yes
no
Do you consent to pictures, videos or being on social media?
yes
no
Back
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I have answered the questions truthfully
I acknowledge that there are possible side effects that may occur
I acknowledge that results may differ based on brow hair type, fullness and aftercare
I acknowledge that I have to discontinue the use of AHA, BHA, salicylic acid and any form of retinol in my skincare routine at least 3 days prior to my appointment
I acknowledge that deposit validates an appointment
Signature (full name)
First Name
Last Name
Submit
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