top of page
finance
available
with Payla8er
Home
About Me
Permanent Makeup
Brows
Lips
Eyes
Laser Tattoo Removal
Beauty Treatments
Skin Booster
Plasma S
Prices
Bookings
Contact us
Blog
Please choose the right form to fill in.
Medical
Questionnaire
Health Declaration
Please answer all of the questions
First Name
Last Name
Email
My body temperature is lower than 98.6°F/ 37.5°C
Are you experiencing any flu symptoms?
No
Yes
No
Yes
Date
Initials
I confirm that the information given in this form is true
Submit
Thanks for submitting!
bottom of page