Client Registration & Consent Form

Welcome. Please take a moment to complete the following form so we can prepare a safe, tailored microblading appointment for you. All information is kept strictly confidential.

Client Information

Full first & last name*Date of birth*

Personal Identity Number / Personnummer (YYYYMMDD-XXXX)*Required for treatment records and insurance verification.

Home Address*

Phone number*Email address*

Health & Medical History

Are you currently pregnant or nursing?

Do you have a history of keloid or hypertrophic scarring?

Are you currently taking blood-thinning medications (e.g. Aspirin, Ibuprofen) or have you used Accutane within the last year?

Do you have any known allergies to pigments, topical anesthetics (lidocaine) or latex?

Do you have any chronic skin conditions (eczema, psoriasis) near the brow area?

Acknowledgments & Consent

I understand that Microblading / PhiBrows is a form of semi-permanent cosmetic tattooing, and that results can vary based on skin type, lifestyle and aftercare compliance.*I acknowledge that a touch-up appointment is typically required within 6–8 weeks to achieve optimal, long-lasting results.*I consent to the application of topical anesthetics (lidocaine) during my procedure to manage discomfort.*I give permission to Bare Beauty to take high-quality photographic records of my brows before and after the procedure for internal records and/or promotional purposes.

Digital Signature & Date

Please sign below using your finger (on mobile) or mouse (on desktop).

Awaiting signature

Date

A signed PDF copy will download automatically after submission.

Bare Beauty Skellefteå · PhiBrows Microblading · Skellefteå, Sweden