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Home
About
Training
Lash Enhancement
Ombre Brow
Lip Blush
Brow Mapping
Lip & Lash Combined Training
Online Mentoring
Treatment
KE Tailored Brow Design
KE Tailored Lip Blush
KE Eyelash Enhancement
KE Beauty
Client Form
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FAQ
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CLIENT FORM
Are you pregnant and/or breastfeeding?
Yes
No
Details:
Have you ever had any coldsores?
Yes
No
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Do you have any allergies?
Yes
No
Details:
Have you ever had any permanent cosmetics or tattoos applied? Please describe where on your face/body and approximate date.
Yes
No
Details:
Do you wear contact lenses? If you are having the cosmetic eyeliner procedure please bring glasses to wear as contacts can only be worn once you have completely healed.
Yes
No
Details:
Do you use any lash growth serums? If you are having a cosmetic eyeliner procedure, you will need to stop this for 4 weeks prior to your appointment.
Yes
No
Details:
Do you have any health issues or conditions?
Yes
No
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Are you a diabetic? If so, type 1 or type 2?
Yes
No
Details:
Do you have any auto-immune disorders?
Yes
No
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Do you tend to develop keloid or hypertrophy scars?
Yes
No
Details:
Do you consume asprin, Omega Fish oils, Ibuprofen or tumeric daily?
Yes
No
Details:
Do you take any medication?
Yes
No
Details:
Do you have botox injections? If so, when was the last procedure and where on the face?
Yes
No
Details:
Are you now or have you ever been on the acne treatment Accutane (Roaccutane). You will need to wait for one year before getting a tattoo.
Yes
No
Details:
Do you have any skin disorders or diseases?
Yes
No
Details:
Are you allergic to hair dyes?
Yes
No
Details:
Do you have glaucoma or any other eye disease or condition?
Yes
No
Details:
Do you have any type of hepatitis or HIV?
Yes
No
Details:
Do you exercise? Please note: NO exercise for five days after treatment
Yes
No
Details:
Date of Birth
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