Consultation Form- Yin and Yang Permanent Cosmetics

Consultation Form

Each appointment requires a quick pre-consultation and we start there! This consists of a few fact finding questions. I also require photos of your brows/lips/eyes (without any makeup) to be uploaded. It helps me determine your skin undertones to select best the pigment for your skin as well as technique. ✨️
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Questions
Have you ever had Permanent Cosmetics/Microblading?
Please list the services you would like done for your upcoming visit
Please list ALL services you are interested in 🗒
Do you lean towards a tint of color or a more saturated look for makeup?
How often do you go in direct sunlight?
A full medical history questionnaire is required. Do you agree to provide prior to your procedure?
I understand that my salon visit may take up to an additional 15 minutes due to state sanitation guidelines and inital setup.
I understand that children under the age of 18 are not allowed to be present during my procedure.
I understand that the procedure includes pigments and topical ointments that may cause allergic reaction.
I acknowledge that "touch-up" appointment pricing is NOT extended for any sessions scheduled outside of a (10 week) window after the initial session.
Please feel free to go into more detail about any comments, questions, or concerns you may have for your artist:
Please attach (3) clear pics of either your brows, lips, eyes. I'll review and send my proposal idea for style, color, and pricing. I MAY request additional photos if they are blurry. Please do not use filters.
I understand, have read and completed this questionnaire truthfully. I agree that this constitutes full disclosure, and that it supersedes any previous verbal or written disclosures. I understand that withholding information or providing misinformation may result in complications regarding my appearance, full healing time frame, final healed results, and general health due to the permanent cosmetics procedure.
I acknowledge that permanent cosmetic procedure results may vary. Results are not guaranteed as this is an ART.
Upload some of your inspo photos for your procedure! Had a friend who had the procedure done and loved their results? Do you have a few Pinterest inspo pics saved? Let me me!
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Do you accept text messages?
Signature
Should be Empty:

Consultation Form

Questions