Laserfiche WebLink
ThIN <br /> BEAUTY <br /> ThINK Beauty LLC Client Questionnaire <br /> To avoid unforeseen complications, please answer Y(yes)or N(no)to the following questions: <br /> Have you had previous permanent makeup?If yes,when? <br /> Are you over the age of18? <br /> Have you had aspirin or any blood thinning medications/supplements within the last 7 days? <br /> Do you take antidepressants or mood-altering medications? <br /> Have you had a chemical or laser peel? If so,when? <br /> Do you have any problems with heating? <br /> Are you currently undergoing radiation or chemotherapy? <br /> Are you currently on Accutane?(Must be off for 1 year) <br /> Are you currently using Retin-A or Alpha Hydroxyl skin care products? <br /> Are you taking medication, including immunosuppressive,such as anti-inflammatory or <br /> steroids? <br /> Are you allergic to lidocaine or topical antibiotics(Polysporin, Bacatracin, Neosporin,or Caine <br /> family of drugs or petroleum-based products(Vaseline)? <br /> Is there any history of skin diseases or remarkable skin sensitivities? <br /> Are you pregnant or nursing? <br /> Are you presently taking Vitamin A, E,or fish oil in any form? <br /> Are you required to take antibiotics during dental or invasive medical procedures? <br /> Do you have any heart conditions? <br /> Have you had Botox or injectables? If yes,when? <br /> Do you have Alopecia? <br /> Do you have Keloid or Hypertrophic scars? <br /> Do you have Hepatitis? <br /> Do you have Diabetes? <br />