Permanent Makeup Medical History Form

Permanent makeup implants pigment into the skin, so a thorough medical history is essential before treating. This form screens for what matters: diabetes, keloid scarring, skin conditions at the site, allergies to pigments and anaesthetic, a tendency to cold sores — which is critical for lip treatments — blood thinners and retinoids, pregnancy, autoimmune conditions, and recent Botox or filler near the area. A couple of those deserve special attention, and the form draws them out. Cold sores can be triggered by lip blush and may need antiviral cover arranged in advance, and recent Botox, filler, peels or laser near the area change the skin and the timing. A dedicated question about recent treatments near the site, plus a free-text field for medications, means you catch the common reasons to adapt or postpone before the client is in the chair. Have every client complete it before treatment and refresh it over time. It’s free, brand-styled, and turns a safety-critical screen into a clear, dated record on the client’s file.