Laser Permanent Makeup Removal Registration & Consent
Welcome to Rita Makmak Beauty! Please complete this form before your first laser permanent makeup removal session.
Provide your pigment and treatment history, current health information, medications, and allergies. Rita will review your answers and discuss your treatment goals before starting.
Keep Rita informed of any changes throughout your removal treatment course. Please use the same email address you used when booking your appointment. We’ll use it to send your aftercare instructions and follow-up emails.
How did you hear about Rita Makmak Beauty?*
Previous Pigment & Removal History
Is this your first laser removal session with Rita?*
Please provide current information for today’s laser removal session, even if you have completed this form before. Rita will review your answers with you before treatment. If you’re unsure how to answer, please ask Rita.
Have you had any recent injections, surgery, peels, laser treatments, or other procedures in or near the area being treated?*
Are you pregnant, possibly pregnant, or breastfeeding?*
