• Tattoo

    Must be 18 or older
  • 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*
     - -

  • Medical History

  • Check all that apply*
  • Have you had coffee/ caffeine/ energy drink in the last 8 hours?*

  • Aftercare Instructions

  • Follow these instructions to ensure the best results for your new tattoo!

    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

    Keep your new tattoo covered for 1-3 hours with the waterproof bandage. Once you remove it you can gently clean the tattoo with anti- bacterial soap and pat dry. 

    Wash hands, and apply a small amount of ointment to the Tattoo, not pulling or dragging.  The coat of ointment should be enough to lightly moisturize and protect the tattoo, but not be so thick it's reflecting light. If you put too much just press a tissue gently over the area.

    Continue using the ointment until all scabs or dryness is gone. 

    What to Avoid:

    •Do not scratch or pick your tattoo at any point

    •No sweating or intense exercise for 72 hours after procedure

    •Refrain from applying any fragrances/ lotion near the treated area

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

    •No waxing, or any hair removal process' until two weeks after the session.

     

     

  • Healing Process

  • Day 1-10: The tattoo will most likely form a slight scab or a layer of dry skin will form as you body's natural bandaid. 

    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 11-15: The area may be itchy while continuing to heal the deeper layer of tissue beneath the surface. Any scabbing or dryness will most likely be gone by now.

    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!

  • 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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