BROW CONSENT FORM | THE HAUS OF BROWS

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BOOK ONLINE

LUXURY BROW CONSENT FORM

First Name

Email Address

Last Name

Birthday

Have you ever had your brows or lashes tinted before? *

Yes

If so, have you had a reaction before? If YES, please give details below

Are you pregnant or breastfeeding? *

Yes

If yes, please note you will be unable to have tint, lamination, or lash lift.

Are you currently using any alpha-hydroxy acids (AHAs), or glycolic products? *

Yes

Are you currently using any alpha-hydroxy acids (AHAs), or glycolic products? *

Yes

Are you currently using any other skin thinning products? *

Yes

Are you currently using tanning beds or are you exposed to the sun often? *

Yes

Do you have any moles, warts or skin sensitivities in the area to be waxed? *

Yes

If you answered yes to any of the above questions, you will be unable to have any waxing treatments performed.

Please list any allergies you have

Please list any medications you are currently taking

Do you have lupus, diabetes, do you have any auto-immune diseases? *

Yes

Please list any illnesses or conditions you are being treated for

Declerations:

I have carried out a patch test at least 48 hours prior to my appointment, and have had no reaction to the patch test *

Yes

I am satisfied with the explanation of the treatment *

Yes

I agree to contact my stylist immediately in the event of an adverse reaction *

Yes

I fully authorise Laura to complete this treatment on me

Select a date

Your Signature

Thanks for submitting!

ADDRESS

The Haus of Brows
M10 - M11 [Upstairs] Newport Market,
High St,
Newport,
NP20 1FX

OPENING HOURS

Monday Closed
Tuesday Closed
Wednesday 9:30am - 8pm
Thursday 12:30pm - 8pm
Friday 10am - 5pm
Saturday Closed
Sunday 10am - 5pm

BROW TERMS
LIP BLUSH TERMS
LIPOFIRM TERMS
PRIVACY POLICY
More

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DESIGNED BY MESO DIGITAL

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