top of page

Client Intake Form

Please fill out the form before your appointment

Brows Form

Do you use or have recently used the following products?
Further assestment
Thanks for submitting!

Lashes Form

Do you have any allergies to the following?
Have you had or used any of the following in the last 4 weeks?
Please note that medications used to treat the following conditions may cause hair/natural eyelash loss. If you are on medications to treat any of the following, please mark them below:
Please mark all conditions that apply:
Thanks for submitting!
bottom of page