Forms | Raquel Dasilva Beauty | Toronto

top of page

Microblading Nano Brows Toronto

Home
Services
FAQ
About
Testimonials
Gallary
Contact
MORE

Use tab to navigate through the menu items.

Medical Consultation Questionaire for

Permanent Makeup

Please fill out the following:

First name*

Last name*

Address*

Email*

Phone*

Date of birth*

Year

Month

Day

How did you hear about me:*

Do you have any allergies?*

Do you have any body tattoos?*

Do you have sensitive skin or other skin conditions?*

Do you have any medical conditions (diabetes, heart or other)? Please specify.*

Are you currently pregnant or breastfeeding?*

Please list any medications you are currently taking: *

Do you use Retinol A, Hydroyl Glycolic Acids, Salicylic Acid, Proactive or any other anti-aging products on your face?*

I declare that the info I’ve provided is accurate and complete.

Signature*

Best Microblading Toronto

Our mission is to provide a high-quality experience in a comfortable and professional atmosphere.

Our service list includes cosmetic, restorative, and corrective tattooing with a focus on natural and detailed results.

SUBSCRIBE

Receive exclusive discounts, and special offers and be the first to know about new services!

Email

We respect your inbox, we only send 1-2 newsletters a month!

© 2024 All Rights Reserved. Raquel Dasilva Beauty

QUICK LINKS

Home
Services
FAQ
About
Testimonials
Gallary
Contact

bottom of page