Consent Form

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Consent Form for Non-Invasive Magnetic Boost Brows Technique

Please be advised that I am obligated to perform procedures in strict compliance with all hygiene and health protection measures. This information is confidential and it shall also be handled in that way.

Date

First Name

Middle Name

Last Name

Birth Date

Email Address *

Mobile Number *

Address (City) *

State *

Country *

Health Declaration
Please understand that this treatment is not for everyone. In order to find out if you are fit for this procedure, please answer the following health questions truthfully. Linda Paradis Group will assume no liability in the event you give false information to obtain the treatment.

Have you done Botox or Filler in last 4 weeks?

Are you Allergic to Sesame Seeds ?

Please list any medical conditions, issues, or medications not listed above

Health Declaration

How many removal sessions done before? *

What is the condition of Skin having Tattoo? *

Skin is damaged and having scars Skin has Scars due to other Treatments My skin does not have any scars

I acknowledge that i have carried out one or more consecutive tattoo removal treatments with below treatment method. *

Has your skin undergone any procedures previously?

Please submit current picture of your Brows

Please submit a picture of your ID/Passport

I agree to Terms & Conditions

Consent Form

Consent Form for Non-Invasive Magnetic Boost Brows Technique

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