Touch-up procedure | Rita Makmak Beauty

Permanent Makeup Touch-Up Registration & Consent

Welcome back to Rita Makmak Beauty! Please complete this form before today’s touch-up. Tell us how the treated area healed and about any changes to your health, medications, or allergies since your previous visit. Rita will review your answers and discuss today’s treatment with you before starting.

Please use the same email address you used for your initial procedure and double-check it for accuracy. We’ll use it to send your aftercare instructions and follow-up emails.

First name

Last name

Mobile Phone Number

Email Address

Previous Procedure & Healing

Which area(s) are being touched up today, and when was the initial procedure performed for each area? If you do not remember the exact date, enter an approximate date or “Not sure.”

Did you experience any problems or unexpected reactions during or after healing from your previous procedure?

If you answered “Yes” or “Not sure,” please describe what happened, whether it has resolved, and any advice or treatment you received.

Do you have any current concerns about the treated area or any adjustments you would like to discuss with Rita? If none, enter “None.”

Health History & Updates

Do you have any current concerns for today’s visit, even if you provided this information previously. Include any changes to your health, medications, allergies, or medical treatment since your last appointment. Rita will review your answers with you before starting. If you’re unsure how to answer, please ask Rita.

What has changed in your health, medications, allergies, or medical treatment since your last appointment with Rita? If nothing has changed, enter “No changes.” If you are unsure, enter “Not sure” and discuss this with Rita.