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Booking Request Form
Cosmetic tattoos
at Hiro’s Brows and Beauty
Please fill out the form below to request a booking.
We will be in touch shortly to confirm your appointment details.
For Lash Lift, Brow Wax,
Tint, or Lamination,
please book directly through Fresha:
https://www.fresha.com/book-now/hiro-lashes-t77zallc/all-offer?id=686955&pId=644833
Personal Details
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You will be contacted via text or email within 48 hours.
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Have you had cosmetic tattoos before?
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Have you had cosmetic tattoos before?
A
Yes
B
No
Please upload a clear, close up photo of your brows or lips in good lighting.
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Click to choose a file or drag here
Size limit: 10 MB
Please upload a photo of your whole face without make up in good lighting.
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Click to choose a file or drag here
Size limit: 10 MB
What would you like to achieve with your cosmetic tattoo? (e.g. improving the shape, color enhancement etc)
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Are you under 18?
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Are you under 18?
A
Yes
B
No
Are you pregnant or nursing?
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Are you pregnant or nursing?
A
Yes
B
No
Do you have any health concerns (past or present)?
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Do you have any health concerns (past or present)?
A
Yes
B
No
Are you currently taking any medications or supplements?
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Are you currently taking any medications or supplements?
A
Yes
B
No
Have you had any of the following?
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Have you had any of the following?
Botox or other injectables in the past month
Cosmetic procedures or surgery in the past 2 months
Accutane or acne treatments in the past year
Please describe if Yes to those questions above.
Do you have any allergies? (e.g. metal, food, anesthetics)
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Do you have any allergies? (e.g. metal, food, anesthetics)
A
Yes
B
No
Do you have any other medical conditions not mentioned above?
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Do you have any other medical conditions not mentioned above?
A
Yes
B
No
Do you use skincare products that contain Retinol, Glycolic Acid, or AHA?
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Do you use skincare products that contain Retinol, Glycolic Acid, or AHA?
A
Yes
B
No
Do you have keloid?
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Do you have keloid?
A
Yes
B
No
Have you had cold sores?(Recommended to take antivirals if prone)
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Have you had cold sores?(Recommended to take antivirals if prone)
A
Yes
B
No
Would you like to book a patch test? (Must be at least a week before your appointment)
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Would you like to book a patch test? (Must be at least a week before your appointment)
A
Yes
B
No
How did you hear about us?
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How did you hear about us?
Instagram
Facebook
Google
Friend or Family
Other
Is there anything else you would like us to know?
Please choose your preferred date.(Wednesdays and Sundays are closed)
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