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Splendor X Nd- Yang / Alex
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Home1
About Us
Services
Splendor X Nd- Yang / Alex
Weight Loss Management
Facial Treatments
Hydrafacial
Advance Treatments
Body Waxing
Eyebrow
Lashes
Permanent Makeup
Skin Lightening
Laser IPL
Products
Courses
Curso The Perfect Brow Trio
Eyebrow Basic Training
Advance Eyebrow Training
Amazon
Contact
FAQ
Terms and Conditions
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Home1
About Us
Services
Splendor X Nd- Yang / Alex
Weight Loss Management
Facial Treatments
Hydrafacial
Advance Treatments
Body Waxing
Eyebrow
Lashes
Permanent Makeup
Skin Lightening
Laser IPL
Products
Courses
Curso The Perfect Brow Trio
Eyebrow Basic Training
Advance Eyebrow Training
Amazon
Contact
FAQ
Terms and Conditions
Menu
Home1
About Us
Services
Splendor X Nd- Yang / Alex
Weight Loss Management
Facial Treatments
Hydrafacial
Advance Treatments
Body Waxing
Eyebrow
Lashes
Permanent Makeup
Skin Lightening
Laser IPL
Products
Courses
Curso The Perfect Brow Trio
Eyebrow Basic Training
Advance Eyebrow Training
Amazon
Contact
FAQ
Terms and Conditions
Reservation request Ombre Brows
Reservation request
Ombre Brows
Name
Age
Female
Male
Email
WhatsApp
Address:
Postcode
State
D.O.B
Occupation
Referred by or how did you find us?
List any medications you have been taking in the past 6 months:
Have you received chemotherapy or radiation in the past year:
Yes
No
What treatment are you having today? (Check all that Apply) Cosmetic Tattooing
Eyebrows
Full lips
Beauty Spot
Other
Check any of the following allergies that apply, leave blank if none.
Lanolin
Latex gloves
Glycerin
Novocain/Lidocaine
Paints
Metals
Crayons
Foods
Dyes
Hair
Other allergies
Check any of the following that apply, leave blank if none.
Retin A within last 2 weeks Anemia
Prolonged Bleeding
Low Blood Pressure
High Blood Pressure
Alopecia
Artificial Heart Valves
Diabetes
Hemophilia
Fainting Spells or Dizziness
Liver Disease
Circulatory Problems
Epilepsy
Tumors, Growth or Cysts
Thyroid disturbances
Keloid Scars
Hepatitis
Cancer
Chemical Peel or Laser within the last 6 weeks
Hair Loss
HIV
AHA Preparation in the last 2 weeks
Botox, Fat, Collagen or Filler Injections
Pregnant/Nursing
Hypertrophic scars
Makeup sensitivities Trichotillomania(pull out eyelashes and brows compulsively)
Healing Problems
Do you scar easily?
Do you bruise or bleed easily?
What are your main eyebrow concerns? And what would you like to improve about them?
FOR THERAPIST USE: (Pigments, Blade, and Technique)
FOR THERAPIST USE: (Pigments, Blade, and Technique)
Please, send a current photo of your eyebrows
Send
Name
Age
Female
Male
Email
WhatsApp
Address:
Postcode
State
D.O.B
Occupation
Referred by or how did you find us?
List any medications you have been taking in the past 6 months:
Have you received chemotherapy or radiation in the past year:
Yes
No
What treatment are you having today? (Check all that Apply) Cosmetic Tattooing
Eyebrows
Full lips
Beauty Spot
Other
Check any of the following allergies that apply, leave blank if none.
Lanolin
Latex gloves
Glycerin
Novocain/Lidocaine
Paints
Metals
Crayons
Foods
Dyes
Hair
Other allergies
Check any of the following that apply, leave blank if none.
Retin A within last 2 weeks Anemia
Prolonged Bleeding
Low Blood Pressure
High Blood Pressure
Alopecia
Artificial Heart Valves
Diabetes
Hemophilia
Fainting Spells or Dizziness
Liver Disease
Circulatory Problems
Epilepsy
Tumors, Growth or Cysts
Thyroid disturbances
Keloid Scars
Hepatitis
Cancer
Chemical Peel or Laser within the last 6 weeks
Hair Loss
HIV
AHA Preparation in the last 2 weeks
Botox, Fat, Collagen or Filler Injections
Pregnant/Nursing
Hypertrophic scars
Makeup sensitivities Trichotillomania(pull out eyelashes and brows compulsively)
Healing Problems
Do you scar easily?
Do you bruise or bleed easily?
What are your main eyebrow concerns? And what would you like to improve about them?
FOR THERAPIST USE: (Pigments, Blade, and Technique)
FOR THERAPIST USE: (Pigments, Blade, and Technique)
Send
