• Hybrid Tint, Lamination & Wax Consent Form

    One-page brow service consent form for The Aesthetic Shoppe. Includes client details, eligibility screening, pre-appointment and aftercare reminder, liability release, and photo consent.
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  • Client Information

  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.

  • Eligibility Check

  • ELIGIBILITY CHECK: PLEASE ANSWER YES OR NO.
  • Do you have enlarged pores on or around the brow area?*
  • Have you had any recent psoriasis or eczema flare ups in or around the brow area within the past 3 weeks?*
  • Have you had any recent eye surgery that has not been cleared by your doctor?*
  • Do you have abnormal oily skin? Tint may not apply well on oily skin.*
  • Are you currently pregnant or breastfeeding?*
  • Are you currently using Retin-A, Retinol, Accutane, AHA, BHA, or similar actives within the last 3 weeks?*
  • Are you currently using skin resurfacing serums, moisturizers, or cleansers?*
  • Have you had any recent chemical peels, micro needling, dermabrasion, or dermaplaning within the last 2 weeks?*
  • Do you have active acne in or around the brow area?*
  • Have you had permanent makeup procedures on the brows within the last 6 weeks?*
  • Have you had Botox around the brow area within the last 2 weeks?*
  • Have you had laser hair removal on or around the brow area?*
  • Have you recently been overexposed to sunlight or UV rays, including a recent sunburn, within the last 2 weeks?*

  • Acknowledgments and Consents

  • Eligibility Acknowledgment Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Liability Release Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Photo Consent Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: