Pre Booking Form

Please fill out this form carefully, ticking all the relevant boxes!

Question
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yes
  • Are you under 18?
  • Are you currently pregnant or breastfeeding?
  • Do you suffer from Keloid or Hypertrophic scarring?
  • Have you had botox in this area in the last 2 weeks
  • *Are you taking Anti-Coagulation medication?
  • Have you currently got an outbreak of Herpes? (Cold sores)
  • Do you suffer with severe Acne (vulgaris or rosacea)?
  • Have you had Chemotherapy within the past 6 months?
  • Do you suffer from auto-immune disease?

    • Been diagnosed with any of the following diseases / conditions

  • HIV, AIDS
  • Hepatitis (currently or in the past)
  • Bleeding disorders eg: Hemophilia A or B, Sickle Cell
  • Severe Allergies
  • Cancer
  • Vitiligo
  • Psoriasis, Eczema, Severe Dermatitis (in the area being treated eg: Brows)
  • * Diabetes type 1
  • * Blood pressure problems
  • * Heart problems
  • * Epilepsy
  • *DOCTORS APPROVAL AND LETTER OF CONSENT ARE REQUIRED

Previous Permanent Make up

If you have had previous permanent make up please ring me before booking an appointment.

Precare advice

Stop using products with retinol (anti-ageing creams) for several weeks before your treatment. Do not take vitamin supplements 3 days before your treatment including Omega 3, Vitamin A and E. These supplements can thin the blood and cause permanent make up to migrate and cause you to bruise. Do not take any pain relief or anti-inflammatories 3 days before. No alcohol from the evening before and no exercise or caffeine on the day of your procedure.

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