I understand that micro-needling may cause infection, pigment/color change, scarring, pain, persistent redness, itching, and/or swelling, and/or an allergic reaction. I understand that after the procedure, the skin will be red, with mild swelling and/or bruising, and might feel tight and sensitive to the touch. Although these symptoms may take 2-3 days to resolve completely, they will diminish significantly within a few hours after treatment. I understand there are certain contraindications that would preclude me from receiving micro-needling treatments including active acne, active infection of any type (bacterial, viral, or fungal), cardiac disease/abnormalities, collagen vascular disease, eczema, psoriasis, or dermatitis, hemophilla/ bleeding disorders, keloid/hypertrophic scaring, pregnancy/lactation, ralsed lesions (moles, warts, etc, skin cancer, sunburn, tattoos, telanglectasia/erythema, uncontrolled diabetes, vascular lesions (hemangiomas), rosacea, and scleroderma. I understand that the use of Botox®, Juvederm®, Restylane®, and any other injectable must be disclosed prior to treatment. I understand that there are some contraindicated medications: blood thinner medications, chemotherapy or radiation, hormone replacement therapy, recent use of some topical medication. I understand that micro-needling is contraindicated within 72 hours of waxing, and within 1-3 weeks of a chemical peel. I understand that while the goal of this treatment is to improve the vitality of the skin, no specific guarantees of the result can or have been made. I understand that it Is Imperative to my health that I disclose all of the Information requested in the Client Profile/Health History. I have cited all conditions and circumstances regarding my health history, medications being taken, and any past reactions to products or medications.