Medical Health Form
In order to assess your suitability for the application of permanent makeup, we need to collect some personal and medical information from you. We will only use this information to assess your suitability for the procedure you requested and contact you about it. All information submitted must be accurate at the time of your procedure, so please inform your technician if there are any changes between completing the form and your appointment.

We take the security and confidentiality of your information seriously. Your information will be stored securely and only processed by GDPR compliant sub-contractors and kept for the reasonable duration necessary after your procedure. You have the right to request a copy of any information we hold about you and invite you to contact us if you wish to do this.
Do you agree to us collecting and processing your information as outlined above? *
Your consent is required in order for us to collect this information from you.
Never submit passwords through Google Forms.
This form was created inside of Armshouse Group.