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Consent & Liability Release

To Brow Lamination & Coloring of Eyebrows

Have you received chemotherapy or radiation within the past year?
Have you ever had an allergic reaction to any of the following? (Check all that apply)
Do you currently have and/or have had any of the following? (Check all that apply)
Did you in the last 14 days undergo surgery, in which you were exposed to radiation, or any other medical interventions?
Have you tinted your eyebrows in the last 6 months using brow henna or tint/dye?
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