INFORMED CONSENT I certify that I am over the age of 18, and not under the influence of drugs or alcohol, and I consent to receiving Permanent Makeup with Deanna, at The Shaped Look. I do not have any health conditions or issues that will prevent me from having the procedure. I acknowledge & have read the Pre-, During, & Post-, Procedure on The Shaped Look website and I agree to strictly adhere to such instructions. I understand that the process used to apply color is not a one-step process & requires subsequent visits to achieve desired results. I understand that with time pigment can & will fade & change color according to metabolism, skin type, medications, age, smoking, alcohol, skin exposure, Retin-A & Glycolic Acids. I acknowledge that no guarantees will be made concerning the results of this procedure. I understand that this is a tattooing process, therefore not an exact science, but an art. I understand the nature of the procedure & that adverse affects may occur such as redness, swelling, & tenderness. I accept responsibility for determining shape, color, & position of the pigment that will be applied. I understand that from 48 hours prior, during, & after the procedure there are no refunds. I give consent to photograph the treated area & this photograph may be used by The Shaped Look, on my portfolio, social media, & website for advertising purposes. I understand that a 2nd appointment (Perfection Visit), will need to be performed 6-8 weeks from initial visit. If not performed in this time frame there will be additional fees. I can have a patch test to identify any allergic reaction to any medicine or anesthetics at a Consultation appointment. Should I waive for the test, I release the Deanna, from The Shaped Look, from liability if I develop an allergic reaction to any of the procedure.
I certify that the information in the above questionaire is accurate.