Appointment Request

BROW REVIVAL STUDIO

pre-screen & cancellation policy
Thank you for your interest in booking an appointment with us! Please read over this form so we can collect the necessary information needed prior to your appointment. Our team will be contacting you soon to get you scheduled once your submission is complete!
You are not a candidate for permanent makeup if you are prone to keloids (from minor injuries), have hemophilia, psoriasis on face/forehead, on blood thinners, undergoing chemo (must be off chemo for a year), pregnant or breastfeeding.
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Date of Birth (must be 18+ for permanent makeup)*

MonthDayYear
Date
Which service are you interested in booking today? *
Do any of the following apply to you? If you select yes to any below, Blade & Shade (microblading) is not recommended. Powder Brows or Hybrid Nano Brows are a better option.*

Mature skin/thin skinOily skin or Oily T-ZoneSun damageLarge poresNone Apply
Do you have previous permanent makeup?*

yesnoyes, at Brow Revival!
If you have previous permanent makeup from anywhere other than Brow Revival, please submit photos below in natural lighting with no makeup so we can review! You may also submit photos if you would like help deciding which brow service would be best for you.
Do you use any of the following? If yes, you must discontinue use on forehead at least 4 weeks prior to your appointment. *
If any of the following apply to you, please select them below. Please review each recommended time frame to avoid prior to your appointment.

Botox (must wait 4 weeks post Botox)Chemotherapy (must wait 1 year post treatment)Accutane (must discontinue 1 year prior)Chemical Peel (6 months post chemical peel)Microneedling, Lasering (6 weeks post microneedling, laser)Brow Wax (3 days post brow wax)
Do any of the following medical conditions apply to you?*

HemophiliaUndergoing chemoOn blood thinnerSarcoidosisMedication before dental workFever BlistersNone apply to me.
Aftercare

(Moisturizer is provided at appointment! Gold Dial available for $2)
Our Policies
Cancellation Fees, No Call /No Show, Late Arrival to Appointment

To book with us, we charge a booking fee. This booking fee ($250 +$5.75 processing fee) comes out of the total initial price for the service you book. _{Example: Hybrid Nano Brows initial session is $800. $250 is due to book, and the remaining $550 is due the day of your appointment.}

If you do not cancel your appointment at least 48 hours prior to your appointment or are a no-show, you will forfeit the required deposit for permanent makeup.

If you are more than 10 minutes late for your appointment, your appointment will be canceled and deposit will be forfeited.

Payment Methods

Payment accepted in cash, debit/credit, or Afterpay (8% processing fee). Pay in cash to avoid a 2.3% credit/debit card fee!

No checks accepted.
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BROW REVIVAL STUDIO

Aftercare

Our Policies

Cancellation Fees, No Call /No Show, Late Arrival to Appointment

Payment Methods