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Brow Tattoo Consent Form

Birthday
Have you had any of the following?
Have you had an allergic reaction to the following?
Are you currently taking medications that thin the blood?
Yes
No
Have you received chemotherapy or radiation in the past year?
Yes
No
Are you currently pregnant?
Yes
No
Do you bruise or bleed easily?
Yes
No
Do you scar easily?
Yes
No
Chemical or laser peel within 6 weeks?
Yes
No
Client's Consent
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