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

In order to ensure the health and safety of our staff and clients, please answer the following questions truthfully and to the best of your knowledge. Your responses will be kept confidential

Heart conditions Refractive eye surgery Hepatitis/jaundice Lips herpes Glaucoma HIV Accutane treatment Trichotillomania Kidney disease Alopecia Cancer Prolonged healing times Currently undergoing radiation/chemotherapy Metal allergy Have previous cosmetic tattooing Have previous tattoo removal procedure Acid / Saline removal Alkaline removal History skin with disease/sensitivity Diabetes Epilepsy/seizures Ocular herpes Stroke Shortness of breath Hyperpigmentation Chest pain Autoimmune disorder Excessive bleeding Keloid scarring Hemophilia Pregnant / Breastfeeding Currently using retinol face products Taking steroid medications Microblading Laser removal Laser removal TCA / Peeling Sensitivity / allergy to latex Other None of them

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. *

Rejuvi Acids: (Skinial - RCR - Enzymes -…) Saline (OCEAN + - Vanish -…) Home treatment Laser If other, Please name it, I have not done any treatment of Tattoo Removal before,

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

Technic Innovation LLC Linda Paradis Group

Waterford Business Park, 5201 Blue Lagoon Drive, 8th floor, suite #865., Miami, Florida 33126, U.S.A.

Phone: +1 (917) 421 6298

support@lindaparadisgroup.com

Line Paradis Cosmetics Trading LLC

Office #06, Mezzanine Floor, Building No. 42, Street 47C, Al Karama, Dubai, United Arab Emirates

Phone: +971 50 389 4788

Training and Courses

Online Training
Physical Master Class
Perfection Class

Techniques You will Learn

Microblading Removal
Eyeliner Tattoo Removal
Lips Tattoo Removal
Body Tattoo Removal
Scalp Micropigmentation Removal
Detox Lips & Snow Lips
Detox Brows Treatment

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Frequently Asked Questions
Legal Notices
Regulatory Approvals and Patents
Terms & Conditions

About Us

About the Inventor
What is Magnetic Tattoo Removal?
Before & After
Magnetic Tattoo Removal Products
Magnetic Tattoo Removal Reviews
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