Brow Lamination & Brow Tint Information and Consent Form
Language
  • English (US)
  • Spanish (Latin America)

  • Brow Lamination & Brow Tint Information and Consent Form

  • Date
     - -
  • Date Of Birth
     - -
  • Format: (000) 000-0000.
  • Service
  • Have you had reaction to previous brow lamination or brow tint?
  • Do you have a very sensitive skin?
  • Did you have microblading or any semi-permanent brow procedure in the last 2 months?
  • Are you taking any skin medication (i.e. accutane)?
  • Are you currently taking any skin routine such as applying AHA, BHA, Retinol (ex. anti-aging skin prosecutors)?
  • Do you use oil-based sunscreen or moisturizer around or in your brow area?
  • Are you pregnant or currently breastfeeding?
  • Do you have a wound, scar tissue, pimple in the brow area?

  • I understand that some mild but normal symptoms may occur with the brow lamination, depending on the sensitivity of my skin during the procedure and will subside in 24 hours.

    I hereby declare and acknowledge that I am at least 18 years of age and not under the influence of alcohol or drugs, or anything that might impair my ability to execute this waiver.

    This agreement will remain in effect for this procedure and all future follow ups conducted by the licensed brow technician. I have not misrepresented myself, nor have I withheld any medical information, surgical state, or condition. I will hold him/her and his/her staff harmless and nameless from any liability that may result from this treatment. 

    I confirm and agree that I wish to engage the services of Buddah Brows & Beauty to perform the brow lamination procedure on myself. 

     

  • Date
     - -
  • Should be Empty: