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MEREDITH BROOKE SALON
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PMU Brows Consent #1
You must complete all fields in order to receive service. First and last name, Home Address, DOB, Email, and Phone number.
Full Name
Number
Home Address
Email
DOB
As of today, I am over the age of 18 years old
I consent and understand the contraindications of permanant make-up brows: Keliod skin, I am not pregnant or breast feeding, I must be off accutance for at least 1 year, skin irritations or open abraisons, I must be off Retinols at least 7 days before the procedure and remain off for 30 days after the procedure.
I consent and understand that if i am diabetic, have HIV, hepatitis, undergoing chemotherapy, pacemaker or major heart problems, epilepsy, or am immunocompromised, I MUST have a doctors note before getting PMU services by Meredith Brooke Salon.
Your Signature
Clear
Date
I declare that the info I’ve provided is accurate & complete
Submit
Thanks for submitting!
PMU Before Care
Consent #2
First Name
Last Name
Email
I consent and understand that I may not drink ALCOHOL or CAFFEINE before the procedure (at least 24 hours for Alcohol)- Increases bleeding. Avoid exercising the day of the procedure.
I consent and understand that I may not take any blood thinners such as Advil, Asprin, Niacin, or Ibuprofen 48-72 hours before my procedure. Tylenol can be taken if you have low pain tolerance. Fish oil or vitamin E may not be taken one week prior or any other natural blood thinner.
I consent and understand that Botox shoud be done 3 weeks before or 3 weeks after the procedure. No waxing or tinting 3 days before. I must not tan within 2 weeks prior to the procedure. Do not have any type of facial/peel 1 month prior to the procedure.
Your Signature
Clear
Date
I declare that the info I’ve provided is accurate & complete
Submit
Thanks for submitting!
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