• The nature and method of the proposed cosmetic tattoo procedure(s) has been explained to me by my technician and/or all artists working at the Meadowlark studio including the usual risks inherent in the procedure process, and the possibility of complications during and following the procedure(s). I understand there may be a certain amount of discomfort or pain associated with the procedure(s) and that other adverse side effects may include minor and temporary bleeding, bruising, swelling, and/or redness or other discolorations. Fading or loss of pigment may occur. Unevenness in the design may occur due to swelling. Secondary infection in the area of the procedure may occur, however, if all after care instructions (that are provided) are followed, is rare.
• I have informed my artist at the Meadowlark studio of any and all health problems.
• I acknowledge that complications including infection are always possible as a result of cosmetic tattoo procedure(s), particularly in the event my post-procedural instructions are not followed.
• I acknowledge that it is not reasonably possible to determine whether I might have an allergic reaction to any of the pigments, dyes, topical preparations, or processes used in the procedure; and I agree to accept the risks that such a reaction (although rare) is possible. I have informed my artist at Meadowlark studio of any existing problems.
•It has been explained to me that immediately after the procedure(s) is completed, the color will appear dark and the design will appear to be thicker. It has also been explained to me that within a short period of time (usually 5-7 days) during the healing process, the color will lighten/soften and the design will heal thinner than it looked the day it was performed.
• I acknowledge that hyper-pigmentation (darkening of skin) or hypo-pigmentation (absence of color in the skin), or scarring is a possibility as a result of my body’s reaction to the skin being broken during the procedure. I realize my body is unique and that my artist and the Meadowlark studio cannot predict how my body will react as a result of this procedure.
• I acknowledge that the procedure(s) will result in a permanent change to my appearance and that no representations have been made to me as to the ability to later change or remove the results. Tattoo removal is a surgical procedure which may cause scarring or disfigurement.
• I understand that future laser treatments, plastic surgery, implants, injections, and other skin altering procedures may alter and degrade my cosmetic tattoo procedure(s). I further understand that such changes are NOT the responsibility of my artist at the Meadowlark studio, and such changes may NOT be correctable through further cosmetic tattoo procedure(s).
• I understand that tattoos may cause MRI (Magnetic Response Imaging) artifacts and that there is a 1-2% chance of a reaction. Within that 1-2% for almost all there will be a warming and/or tingling sensation in the tattooed area from the MRI due to the iron oxide properties of some pigments. It is understood that I should advise my physician that I do have permanent cosmetics (a tattoo) in the event an MRI procedure is prescribed.
•I acknowledge the receipt of written instructions advising me of the proper care of my procedure(s), and ointment by my artist at the Meadowlark studio. I understand the absolute necessity for following these instructions.
•I understand that cosmetic tattooing is an art form and NOT an exact science, and I acknowledge that NO guarantees have been made to me as to the result of this procedure. Some skin types will not accept or heal pigment in a consistent manner. Your skin and how well you take care of your procedure(s) will determine your result. I realize my body and myskin is unique and that my artist and the Meadowlark studio cannot in any way predict how your skin may react to the procedure or how it may or may not accept color. I also realize that my artist at the Meadowlark studio cannot predict how many visits it will take to complete my procedure.
• The fee for the cosmetic tattoo procedure(s) have been explained to me, including the initial procedure fee, touchups fees, and maintenance fees. These fees are understood and agreed upon. I understand the total fee for services rendered is due upon the completion of the initial procedure and that there will be separate fees for touch up/follow up work.
• I understand that the Meadowlark studio does NOT include a free touchup appointment(s) in the initial procedure price. All touch up/follow up appointments ARE a separate fee. A “follow up” appointment is often needed to complete, adjust, or fine tune the initial procedure or maintenance procedure. All follow up appointments will be charged a fee of $50.00 and must be scheduled within 3 months of the initial procedure. After 3 months, the follow up will increase accordingly and such pricing can be found on the studio’s website. An 8.1% sales tax is added to the service pricing.
• I accept full responsibility for determining the color, shape, and position of the pigments that will be applied. I understand the actual healed color of the pigments will be modified slightly due to my own unique skin undertones.
• Due to the fact that your approval is obtained prior to final selection of color to be implanted and design application(s), that all the facts about cosmetic tattooing have either been disclosed or discussed with you, and that you have been given full opportunity to have any and all questions answered, my artist and the Meadowlark studio employs a no refund policy.
• Any artist of the Meadowlark studio has the right to refuse service to anyone at any time for any reason.
• This contract is to remain in effect for as long as I remain a client of the Meadowlark studio and all of its contents apply whenever work is performed on myself by any artist of the Meadowlark studio. It is my responsibility to inform my artist at Meadowlark studio if any changes have occurred in my medical history.
•I have read and understand the contents of each paragraph above. I have received no unrealistic warranties, or guarantees from my artist or the Meadowlark studio with respect to the benefits to be realized from, or the consequences of the aforementioned procedure(s).
• I acknowledge by checking off on this consent form, I have been given the full opportunity to ask any and all questions about cosmetic tattooing procedure(s), it’s process, and the risks involved from my artist and the Meadowlark studio. The decision to have cosmetic tattooing procedure(s) performed is my own and I understand and accept all risks involved, therefore releasing my artist and the Meadowlark studio of any and all legal liability. My artist and the Meadowlark studio are exactly that, an artist, a highly trained and skilled artist and make no claims to be anything more. Permanent makeup/cosmetic tattooing is not medical procedure but an art form, the art of tattooing. No refunds... no exceptions.