Brows | Sade Morland Studios

Full name

Birthday

Day

Month

Year

Phone

Recent skin infections around the eye or brow area?

Yes

No

If you answered 'yes' the treatment may not be suitable for you at this time.

Recent eye infections in the last 2 weeks?

Yes

No

If you answered 'yes' the treatment may not be suitable for you at this time.

Recent surgical procedures around the eye or brow area?

Yes

No

If you answered 'yes' the treatment may not be suitable for you at this time.

Do you suffer from any of the following skin conditions around the eyebrow area?

Eczema

Sensitive skin

Psoriasis

No

Are you currently taking any medication or undergoing medical treatment?

Yes

No

If yes please state and discuss with your stylist.

Have you ever had any previous reactions to HD Brows or other eyebrow treatments?

Yes

No

If yes, please state and discuss with your stylist.

Have you ever had any previous reactions to henna, tints, dyes or lightening products?

Yes

No

If you answered yes your stylist may not use tint, lightening paste, or the Browsculpt relax & reform duo.

Are you (or could you be) pregnant, breastfeeding or undergoing IVF?

Yes

No

If you answered yes your stylist may not use tint, lightening paste, or the Browsculpt relax & reform duo.

Is there any other information we should be aware of that may affect your sustainability for the treatment?

Yes

No

If yes please state.

Although your treatment will be carried out to the highest standards, complications can still occur. Please read and agree you have understood the possible side effects below.

Allergies or reactions , Small spots and bumps , Skin grazing , Soreness, redness or itching , Sensitivity to waxing, Potential hair loss(BrowSculpt only), Possible lightening of permanent makeup pigments (BrowSculpt only)

Yes I understand

Signature

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I consent Sade Morland collecting, retaining and processing medical and health information provided on the client record card for the purpose of my treatment, any aftercare and any other matters arising after my treatment.

Brow Consultation Form

Consultation form for booked weddings only.