Brow consultation

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Brow consultation

First and Last name *

Are you using any retinol or retin A products? *

Yes

Have you been using any acne treatments of any kind in the past 6 months? *

Yes

Are you currently using a bar soap as a cleanser? *

Yes

Do you take any medications that thin your blood? *

Yes

Have you been exposed to the sun or tanning beds in the last 48 hrs? *

Yes

Are you diabetic? *

Yes

Do you bruise or get red easily? *

Yes

Are you allergic to any hair dyes? *

Yes

When is your menstrual cycle due? (we ask this question because things like your menstrual, caffeine, alcohol or pregnancy will cause sensitivity) *

Do you consent to any photos or videos during this session? *

Yes

I have been advised by SPA ZCP that the services provided could have unfavorable results including but not limited to: allergic reaction, irritation, burning, redness or soreness. I am aware that certain medications and over the counter products can significantly increase injury when combined with any skincare services. I understand that SPA ZCP does not recommend any services if I’m using any retin A or retinol, dermatologist skincare or bar soaps. I hereby confirm that I am not using any medications or products that may cause or contribute to such injury/reactions and I will advise SPA ZCP if I begin to in the future. I understand that there are often inherent risks associated with skincare services and I agree that as a condition of providing these services on an on going basis, I will not hold SPA ZCP and esthetician’s liable.

If you consent please type your name below *

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