Select your right choices according to your health conditions from the digital medical liability waiver form.

CLIENT CONSULTATION AND MEDICAL HEALTH FORM

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Please read the following statements carefully: Microblading is a way of cosmetic tattooing. Re-touch procedures may be required. A healing period of 4-6 weeks is required before a touch up procedure can be performed. On a rare occasion, the pigment may migrate under the skin. The Microblading procedure may be slightly uncomfortable. The pigment will fade. Immediately after the procedure, the pigment can appear 30-50% darker than the desired result. Although extremely rare, there might be an immediate if delayed allergic reaction to pigment. A negative patch test result does not guarantee that you will not develop an allergic reaction after the full procedure. Allergic reactions to an aesthetic can occur. Permanent consumer is cannot be applied to pregnant woman or nursing mothers. Permanent cosmetics cannot be applied to any person under the age of 18. Infections can occur if aftercare instructions are not follows correctly there may be swelling and redness following the procedure. You may experience minor bleeding. Possible scaring may occur, but is extremely rare. 


I have received an after care leaflet and I'm fully aware of the after care procedure

I have fully understood the information provided above. I can confirm that all of the information provided by me is correct and truthful

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General Consent & Procedure Permit Form



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I accept the responsibility for determining the color, shape, and position of the Permanent Makeup procedure as agreed during the consultation. I fully understand and accept that non-toxic pigments are used during the procedure, and that the results achieved may fade over the period of 1-3 years. Even once the color will fade pigment itself may stay in the skin indefinitely. I have been informed that the highest standard of hygiene are met and that sterile, disposable needles and pigment containers are used for each individual client, procedure and visit. I understand and accept that each procedure is a process requiring multiple applications of pigment to achieve desired results, and that 100% success cannot be guaranteed during the first procedure. I understand that I may have to return for a repeated procedure. The result of the procedure is determined by the following; medication, skin characteristics (dry,oily, sun-damaged, thick, or thin), Personal pH balance of your skin, alcohol intake, smoking, and post procedure after care. Upon completion of the procedure there might be swelling and redness of the skin which will subside between 1-4 days. In some cases bruising may occur. You may resume your normal activities following the procedure, however using cosmetics, excessive perspiration, and exposure to the sun should be limited until fully healed. Please see after care card for more details. You can be assured that the procedure results will look acceptable for you to appear in public without additional make-up on the affected area. I have been advised that the true color will be seen 1 month after each procedure, and that the pigment may vary according to skin tones, skin type, age and skin condition. I understand that some skin types accept pigment more readily and no guarantee on exact color can be given. To my knowledge I do not have any physical, mental, or medical impairment or disability that might affect my well being as a direct or indirect result of my decision to have a procedure done at this time. I agree to follow all pre-procedure and post-procedure instructions as provided and explained to me by the technician. I can confirm that I have received a copy of after care details. Being of sound mind and body, I hereby release any and all responsibility. For the purpose of documentation, records, and use in portfolio, also consent to the taking of "before" and "after" photograph of my procedure.

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 I CERTIFY THAT I HAVE READ AND FULLY UNDERSTAND THE ABOVE CONSENT AND PROCEDURE PERMIT; THAT THE EXPLANATIONS THEREIN REFERRED TO WERE MADE AND ACCEPT FULL RESPONSIBLITY FOR THESE AND OR OTHER COMPLICATIONS WHICH MAY ARISE OR RESULTS DURING OR FOLLOWING THE PERMANENT MAKEUP PROCEDURE. THE TREATMENT IS PERFORMED AT MY REQUEST ACCORDING TO THIS CONSENT, PRE-PROCEDURE FORM AND POST PROCEDURE GUIDELINES. I HERBY AUTHORIZE TECHNICIAN.

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