• Brow Lamination & Tint Information and Consent

    Brow Lamination & Tint Information and Consent

    Please note that it is recommended that you do not use any retinoids (medication like Tretinoin) for at least 7 days before your treatment and for 5 days following to avoid irritation and adverse reactions.
  • Format: (000) 000-0000.
  • Service
  • Have you had reaction to previous brow lamination or lash lift?
  • DId you have microblading or any semi-permanent brow procedure in the last 2 months?
  • Are you taking any skin medication (i.e., accutane, differin, tretinoin)?
  • Have you implemented any AHA (i.e., glycolic, mandelic, lactic) or BHA (i.e., salicylic) or Retinol (i.e., anti-aging skin prosecutors) in your daily skin-care routine?
  • Are you pregnant or currently breastfeeding?
  • Do you have a cut, sore, or active blemish in the area to be treated?

  • I hereby declare and acknowledge that

    I am at least 18 years of age and not under the influence of alcohol, drugs, or anything that might impair my ability to execute this waiver. I also understand that this is a binding agreement, and I must read and fully understand all information in this form.

    I have read and fully understand the consent form in its entirety and have answered all questions honestly. I have not misrepresented myself, nor have I withheld any medical information from the esthetician who will treat me.

    I understand that using retinoids in the area to be treated within the last week, or for some active retinoid users longer, , receiving lamination or tint may cause irritation, swelling, and burning sensations. By submitting this consent form, I am stating that I have not used topical retinoids around the eyes, eyebrows, and forehead within the previous 7 days.

    I now consent and wish to proceed with the treatment at Velvet Esthetics.

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