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DOB
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Upload a picture of your license (Required by Florida Health Department)
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(Required by Florida Health Department)
Are you currently using any medications?
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Are you able to use topical anesthetics? (lignocaine, tetracaine, prilocaine, epinephrine)
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Are you pregnant, planning pregnancy or breastfeeding?
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Have you had your eyebrows tattooed before?
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Do you have any health concerns?
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Are you iron deficient or anemic?
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Are you prone to keloid scarring?
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Attach a clear image of your FULL FACE with no make-up on. (These must be taken with sufficient lighting.)
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Attach a clear image of your LEFT EYEBROW with no make-up on. (These must be taken with sufficient lighting.)
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Attach a clear image of your RIGHT EYEBROW with no make-up on. (These must be taken with sufficient lighting.)
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I have read and understood the information provided to me above in the 'information pack' and have answered each question truthfully
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Yes, I have read and understood the INFORMATION PACK
Do you understand that tattooing is artistic in nature and no results or expectations can be guaranteed
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Yes, I UNDERSTAND
Do you understand that a tattoo is a permanent change to your appearance and can only be removed by laser or surgical means, which can be disfiguring and/or costly and which in all likelihood will not result in the restoration of your skin to its exact appearance before being tattooed?
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Yes, I UNDERSTAND
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