Pinkys Beauty Box Permanent Makeup Consent and Release

Pinkys Beauty Box Permanent Makeup Consent and Release

Statement of consent and release
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Aftercare instructions have been explained to me and a written copy has been given to me to retain in my possession, which I will follow to the best of my ability. If I have questions, I will call or email you.I understand that a certain amount of discomfort is associated with this procedure, and that swelling, redness and bruising may occur.I understand that Retin A, Renova, Alpha Hydroxy and Glycolic Acids must not be used on treated areas. They will alter the color and cause premature exfoliation of the pigment.I understand that tanning beds, pools, some skin care products and medications can affect my permanent makeup.I understand that successful color saturation can NOT be guaranteed due to hidden scar tissue.I will tell all skin care professionals or medical personnel about my permanent makeup procedures, especially if I am scheduled for an MRI.I accept the responsibility to explain to you by desire for specific colors, shape, and position for any procedure done today.I understand that implanted pigment color can slightly change or fade over time due to circumstances beyond your control, and I will need to maintain the color with future applications and a touch-up session within 40 days.I acknowledge that the proposed procedures(s) involve risks inherent in the procedure, and have possibilities of complications during and/or following the procedures such as: infection, misplaced pigment, poor color retention and hyper-pigmentation.I have been advised that a touch-up session is highly recommended to make any adjustments to shape, color, and to fill any pigment that may have had poor retention. Touch-ups must be completed within 40 days of initial procedure.I have been quoted the cost of today’s appointment, and the cost of the touch-up. Touch-ups must be completed within 40 days of initial procedure to be considered a touch-up price.I understand that there will be a charge of 50% of my service fee for giving less than 24 hr notice to cancel or reschedule my appointment.I agree to pay 50% of my service fee if I no-show to my scheduled appointment.I certify that I have read or have had read to me the contents of this form. I understand the risks and alternatives involved in this procedure(s). I have had the opportunity to ask questions, and all of my questions have been answered. I acknowledge that I have reviewed and approved the materials given to me, and I authorize Creeland Burrows , as my permanent makeup artist to perform on my face.I understand that after the permanent makeup procedure is completed there will be no refunds.
Not Applicable for non Military

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