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PLEASE FILL OUT THE FORM BELOW TO START THE PROCESS
Have you had Microblading, Eyebrow Permanent Makeup or Eyebrow Tattoo done in the past or recently?
If selected yes, how long ago did you have your last session?
Today - 1 month ago
2 - 5 months ago
6 - 12 months ago
1.5 - 3 years ago
4 + years ago
Do you have any of the following contraindications?
Hepatitis A, B, C or D
Abnormal heart condition?
Presently have cancer or had cancer
Taking blood thinners ex. ibuprofen
Allergies to medications like lidocaine
Taking thyroid medication
Accutane or Steroids
Psoriasis, eczema, rashes or blisters on the skin that is to be treated
Post inflammatory hyper pigmentation/ Keloids
I do not have any of the following contraindications listed above.
Do you have more than one of the following contraindications listed above? List them below along with any questions or comments:
I have answered everything truthfully to the best of my knowledge of my health and medical history.
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