FORMS | Brow Artisto

First name

Last name

Phone

Do you have any of the following conditions?

Diabetes

Heart condition

Keloid scarring

Bleeding disorder

Skin condition (eczema, psoriasis, dermatitis)

Viral infections (cold sores, hepatitis, HIV)

Pregnant or breastfeeding

Allergic to lidocaine, epinephrine, nickel, pigments, or latex

Taking blood thinners or Accutane

Recent Botox, filler, or peel (past 4 weeks)

None

Please list any allergies or sensitivities

Are you currently on any medications or supplements?

Have you had permanent makeup before?

Yes

No

What brow look do you prefer?

Natural & soft

Defined natural

Full & makeup look

Your skin type

Upload your brow photo (optional)

Have you had any negative experiences with PMU before?

Are you aware of the healing process (peeling, fading, 6-8 week touch-up required)?

Yes

No

I consent to before/after photos being taken for documentation (optional for marketing use).

Yes, I agree to photo use for portfolio/social media

No, for documentation only

Have you read and understood the pre-appointment instructions (no caffeine, alcohol, blood thinners, etc.)

I understand results vary by skin type, lifestyle, and aftercare.

Signature

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