• Permanent Makeup

    Tattoo consent form
  • Format: (000) 000-0000.
  • You must submit the 2 forms of ID or the service can not be completed. Your second form of ID does not need to have a photo; just your name. 

  • Today’s date*
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  • Medical History

  • Check all that apply*
  • Check all that apply*
  • Are you currently using any of the following?*
  • Have you had coffee/ caffeine/ energy drink in the last 8 hours?*
  • Aftercare Instructions

  • The next 4-6 weeks of healing are crutial for your best results!

    After leaving your first session, you will be provided with aftercare ointment. If for some reason it's lost or misplaced, you can use;

    -Aquaphor or

    -A&D ointment 

    -Aloe Vera gel

    Wash hands, and apply a pea size amount of ointment to the brows in a pressing motion, not pulling or dragging.  The coat of ointment should be enough to lightly moisturize and protect the are but not be so thick it's reflecting light. If you put too much just press a tissue gently over the area. Ointment should be applied based on your skin type

    Dry Skin: 2-3 times daily  Normal/ Combo: 2 times daily   Oily skin: 1 time daily

    Continue using the ointment until all scabs are gone. 

    What to Avoid:

    •Do not scratch or pick your eyebrows at any point

    •Do not get your brows wet for at least 7 Days

    •No sweating or intense exercise for 72 hours after procedure

    •Refrain from applying any skincare products near the treated area

    •Do not apply bleach or dye for four weeks after your session.

    •No acne-fighting products or skin lightening creams within 1-2 inches of brows indefinitely 

    •Do not use anti-aging products or facial products within 1-2 inches of brows indefinitely 

    •Do not expose your permanent eyebrows to the sun or UV booth for minimum 2 weeks

    •No eyebrow tweezing, waxing, or other eyebrow hair removal process until two weeks after the session.

     

     

  • Healing Process

  • Day 1-10: The result will look approximately 50% darker than the desired effect in the first week, and it will take 4-10 days for them to lighten. The first 7 to 10 days after the procedure are crucial to the success of the treatment.

    As any type of pigment injection is trauma to the skin, there will be some inconvenient consequences – redness and some swelling. This is normal and will go away relatively quickly, so there’s nothing to worry about.

    Day 11-15: As the dotting motion breaks the skin some scabbing, flaking and dryness is inevitable. Most clients report that during the healing of ombre powder brows scabbing is the most annoying phase.

    It is essential not to touch or pick at your skin. Just leave it be. It will heal at its own pace, usually by the end of the second week following the procedure.

    Day 16-30: You will also notice that the pigment color will fade slightly or almost completely ; this is normal and expected. This is why the touch up appointment is done so that the corrections can be made.

    TRUST THE PROCESS!

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  • Procedure & Photo Consent

  • In the industry of Permanent Makeup, photos of our work is what gets new clients to make their decision to get in the chair for themselves. As a small business, I rely on photos of my work to keep my buisness growing. It also helps future clients have a plethora of options to review when choosing styles or colors.  If you are confortable I greatly appreciate you allowing me to share photos and/or videos of my work. I'm requesting your consent to use such photos or videos to be used on either my instagram, websites, and promotional material. If you are not comfortable I completely understand. 

  • Are you comfortable with images or video of your procedure being used for social meadia and/or website, promotional material?*
  • If yes, would you like to be tagged?
  • Liability Waiver

  • -I understand that it is my responsibility to advise the technician of any concerns I may have before they begin the procedure.

    -I am not under the influence of any drugs or alcohol.

    -I am not pregnant.

    -I release the studio and its representatives and subsidiaries of all claims for injury, seen or unseen, that may occur as a result of this procedure.

    -No warranty has been made to me as a result of this semi permanent makeup, micro-pigmentation or correction procedure, and that the final result cannot be guaranteed.

    -There may be risk of infection if aftercare instructions are not followed.

    -I realize that there is potential for discomfort during the procedure and during the healing process.

    -There is a possibility of bleeding, swelling, and allergic reactions to the pigments used.

    -Cosmetic tattooing is considered semi-permanent, and will fade with time.

    -A tattoo can only be removed with surgical, saline or laser procedures, and that any effective removal may leave permanent scarring or disfigurement.

    -Misplacement or migration of the pigment can occur, under rare circumstances, requiring excision and/or correction of the misplaced pigment.

    -My technician will not, under any circumstance, perform any procedures on me if I am known to have any allergies related to the products used. (Our pigments contain: Sterile Water, Glycerin, Isopropyl Alcohol, Iron Oxides, Titanium Dioxide, Chromium Oxide)

    -I understand that I must inform my technician of any and all medication(s) I am currently taking. (Pain control medications such as aspirin or ibuprofen may cause the blood to thin, and excessive bleeding may occur during or after the procedure.)

    -I do not currently take Accutane and/or have not taken for at least 12 months.

    -I agree to follow the provided aftercare instructions.

    -I certify that this Disclosure & Release Agreement was completed by me and that all entries and information are true and complete to the best of my knowledge.

    - I fully understand the questions, terms, and conditions of this Disclosure & Release Agreement. I accept to waive my rights for any claim against the technician for any reason whatsoever.

  • Date.*
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