Microblading Request Form
Please fill out the form below and submit prior to booking your appointment.
Email *
Name *
Are you at least 18 years of age? *
Are you pregnant or breastfeeding? *
Have you had microblading or any other type of cosmetic tattooing done on your eyebrows before? *
Have you been on Accutane within the past twelve (12) months? *
Do you have any skin conditions such as shingles, psoriasis, eczema, or rosacea on/around your eyebrow area? *
Do you currently have a sunburn, cold sore, or a pimple/blemish on/around your eyebrow area? *
Are you prone to scarring/keloids? *
Are you currently on Retin-A or Retinols or have been within the last three (3) weeks? *
Have you had Botox, fillers, chemical peels, or any type of facial within the last three (3) weeks? *
Do you have skin cancer and/or have you had any type of chemotherapy treatment within the last six (6) months? *
Do you have any vacations or important events coming up within the next 8-10 weeks? *
Are you able to avoid swimming, tanning/sunbathing, working out, or anything that's going to cause excessive sweating during the healing process? *
Have you read the pre-care and aftercare instructions located on my website? (www.ebtattoo.com) *
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