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Ethereal Ink Cosmetic Tattooing

BOOK AN APPOINTMENT

A non-refundable booking fee of $50 is required to schedule an appointment. The booking fee will be used as a guarantee for your appointment and will be applied towards the total cost of your service. Should you not show up, arrive more than 15 minutes late, or cancel/reschedule without 48 hours notice, your booking fee will be forfeited. No exceptions.

Please fill out and submit the following Pre-Screening Questions BEFORE booking your appointment. If you have questions, please reach out to me prior to booking your brow appointment.

Full Name

Birthday

Email

Please check ALL boxes that apply. If you answer yes to any of these questions, please speak to me before booking.

Pregnant (or actively trying), Breastfeeding

Diabetic

Lupus

Epileptic/prone to seizures

Organ Transplant

Heart Condition or Pacemaker

Chemotherapy within the last year (including chemo medication)

History of Keloids

Contagious diseases & viral infections

Autoimmune Disorders (must have a doctors consent)

Botox or fillers in the brow area in the last 4 weeks

Taken Accutane (or other acne medications) in the last year

Active skin condition such as Psoriasis or Eczema in the brow area

Allergies to topical anesthetics or metals (iron & nickel)

Recently tanned or sunburned skin

Retin-A, Retinol, Glycolic Acid, Alpha Hydroxy Acid (AHA) or hair growth serums within 4 weeks

Currently taking any blood thinners (including natural such as omegas and vitamin e)

Have taken antibiotics in the past 4 weeks

Have had the Covid-19 vaccine in the last 4 weeks

None of the above mentioned apply to me

Please list any other medical conditions that apply to you that are not listed above.

Please list all medications, vitamins and supplements taken in the past 6 weeks. Indicate which ones are current. If not applicable simply type N/A.

If you have recieved, or are booked to recieve the Covid-19 vaccine, please write the date(s) of dose(s), or N/A if not applicable.

Covid-19 Vaccine: For my safety, I have read and understand that I may NOT book my PMU appointment within 2 weeks before my first dose, not between first and second dose, and not within 4 weeks after second dose.

Do you have any allergies?

Yes

No

If yes, please list allergies below:

Do you have previous cosmetic tattooing on your brows?

Yes

No

If yes, how long ago?

What are you hoping to achieve at your brow appointment? (i.e. natural vs. makeup look? shape, thickness, density, colour, etc.)

What best descibes your skin type?

Please upload a clear photo of your brows in a well lit area without make-up or use of a filter.

Upload File

Upload supported file (Max 15MB)

How did you hear about Ethereal Ink?

If you were referred, please let me know by who?

I hereby certify that this information is accurate and if any of the above changes, it is my responsibility to re-submit an updated form at least 48hrs before my procedure.

Thank you for submitting! You may now continue with the booking process by choosing a service to book below.

Brows
First Appointment.
Service Information
3 hr
400 Canadian dollars
6-12 Month Touch-up
Existing Clients Only.
Service Information
2 hr
200 Canadian dollars
Annual Touch-up
1-2 years after initial appointment. Existing Clients Only.
Service Information
2 hr
250 Canadian dollars
Lip Blush
Service Information
4 hr
150 Canadian dollars

1-705-220-6941

hello@etherealink.ca

682 Veterans Drive, Suite 1

Barrie, ON L9J 0H6

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