Email HAVE YOU HAD THIS TREATMENT IN THE PAST? Yes NO IF "YES", HAVE YOU EVER EXPERIENCED ANY SKIN REACTIONS? Yes NO IF "YES", PLEASE EXPLAIN HERE DO YOU SUFFER FROM ANY ALLERGIES, ILLNESSES, MEDICAL CONDITIONS OR TAKE ANY MEDICATIONS WHICH PROHIBIT YOU TO DO THIS TREATMENT? Yes NO IF "YES", PLEASE EXPLAIN HERE MAY WE USE YOUR BEFORE AND AFTER FOTO FOR OUR SOCIAL MEDIA? * Yes NO HOW DID YOU FIND US? GOOGLE TREATWELL INSTAGRAM/TIKTOK FRIENDS & FAMILY Comment or Message Terms of Service I accept the terms of service below Your online signature YOUR SATISFACTION AND SAFETY IS OUR NUMBER ONE PRIORITY TO ENSURE YOUR WELLBEING BEFORE, DURING AND AFTER YOUR TREATMENT, PLEASE BE AWARE OF THE FOLLOWING INFORMATION AND POSSIBLE POINTS AS BELOW NO WATER CAN COME IN CONTACT WITH THE EYEBROW/ EYELASHES AREA FOR 24 HOURS AFTER THE TREATMENT (INCLUDING STEAM/SAUNAS) THE DATA CAPTURED ON THIS RECORD CARD IS TO ENSURE OUR SPECIALISTS CAN SAFELY PERFORM TREATMENTS ON YOU AND CONTACT YOU REGARDING YOUR APPOINTMENTS. THE DATA WILL NOT BE SHARED WITH ANY 3RD PARTY. YOU MAY REQUEST TO WITHDRAW CONSENT AT ANY TIME BY WRITING TO US DIRECTLY, HOWEVER, WE WILL NO LONGER BE ABLE TO PERFORM TREATMENTS ON YOU. I (CLIENT) WILL INFORM YOU ( JUST BROWS) OF ANY UPDATE ABOUT THE ABOVEMENTIONED DATA AND HEALTH HISTORY. Send