Brow services consent form
Hi, before we begin, I kindly ask for your consent to proceed with the treatment. This form ensures that you understand the procedures involved, including any risks or potential side effects, and that you consent to the services provided by Gallardo Aesthetics. Your safety and satisfaction are my top priorities, and I look forward to enhancing your natural beauty with my professional brow services🤍💐.
Name
*
First Name
Last Name
Instagram
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Please check if you have any of the following
*
Eczema
Psoriasis
Rosacea
Skin cancer
Recent acne breakout
Sunburn
None
Other
Are you using any of the following products or medications?
*
Retinols
Retin-A
Tretinoin
AHA
BHA
Proactive or Accutane
Differin
Antibiotics
None
Other
Are you currently Breastfeeding or Pregnant?
*
Yes
No
I agree to have photos/videos taken for the purposes of content creation
*
Yes
No
If referred , let me know who referred you 🤍
By signing below, I understand some products used may cause some irritation, itchiness, redness or swelling
By signing below, I release my brow artist from all liability associated with this service which is performed with careful consideration of existing conditions and proper application and technique.
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