Beau Paramedical Consult Form

Paramedical Consult Form

Paramedical Tattoo Inquiries
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Medical / History Data
AllergiesCurrently taking blood thinning medicationsPregnant/BreastfeedingDiabetesProblems healing woundsIssues blood clotting or history of hemophiliaHistory of keloid scarringHistory of cold sores or fever blistersCurrently undergoing chemotherapy/radiationPrevious paramedical tattooAccutane within the last 6 monthsHistory of skin disease or skin sensitivity
If yes to allergies, please specify:
How old are you?*
Are you currently taking any medications? If yes, please list them below:
Scar CamouflageStretch Mark Camouflage3D Areola Nipple TattooRadiation Marker CamouflageScalp Micropigmentation
YesNoN/A (for areola and scalp micropigmentation)
YesNoN/A
YesNoN/A
Please describe your area of concern (e.g. I would like my tummy tuck scar camouflaged)*
Please add up to 3 images of your area of concern as files below.
Picture 1

Browse Files

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Picture 2

Browse Files

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Picture 3

Browse Files

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IMPORTANT TO NOTE:

Depending on the individual scar and/or stretch marks, an ideal camouflage result can take between 1-4 treatments, spaced about 6-10 weeks apart, with most scars taking 2 appointments.

All 3D Areola Nipple Tattoos will be booked for an initial appointment plus a follow up touch up appointment. Both appointments are included in the cost, and can be paid in full or in two installments.

We will provide our best estimate about the number of appointments but because all skin will behave differently, this is only an estimate.

To keep things simple, your price quote will be firm and will not change, regardless of how many appointments are needed for your best results.
Finally, please read through the Aftercare Instructions:

Scar and Stretch Mark Aftercare

3D Areola Nipple Tattoo Aftercare
Should be Empty:

Paramedical Consult Form

Medical / History Data