Perfectious Tatu Client Paperwork

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Pre-Procedure Care and Instructions: Permanent Makeup

Eyebrows, Eyeliner, Lip Liner, Full Lip Color and Beauty Marks

ALL SEMI-PERMANENT COSMETIC PROCEDURES ARE MULTI-SESSION PROCESSES.

An initial application is incomplete until after a follow-up appointment, which must be scheduled approximately 4-8 weeks after your initial appointment to insure a nice lasting beautiful color and length of time the tattoo will last for you. There is an additional charge for the follow-up appointment.

WHILE YOUR SKIN HEALS, BE PREPARED FOR THE COLOR INTENSITY OF YOUR

PROCEDURE TO BE SIGNIFICANTLY LARGER, SHARPER, BRIGHTER, OR DARKER than what is expected for the final outcome. This is a normal and expected result of the application and healing process. The healing process will take a number of days to complete, depending on how quickly the outer layer of your skin exfoliates and new skin regrows to take its place. Since delicate skin or sensitive areas may swell slightly or redden, some clients feel it best not to make social plans for a day or two following any procedure. You may like to bring your lip or brow pencils with you the day of the procedure. The Injected tones may initially simulate the exact tone or color desired, it may not always remain a perfect match. Injected tones are constant, while your skin tones will vary depending on exposure to cold, heat, sun and circulatory changes.

Eyebrows: Tweezing or waxing should be done at least 48 hours prior to the procedure; electrolysis no Less than 5 days before. Do not resume any method of hair removal for at least 10 days prior to procedure and 14 days after. Eyeliner:

DO NOT WEAR CONTACT LENSES DURING OR IMMEDIATELY FOLLOWING THE

PROCEDURE. Remember to bring your glasses. You may resume wearing your contact lenses as soon as your eyes return to their pretreated condition. Do not use growth stimulants such as Latisse®, RapidLash®, or RevitaLash® ect. forat least one week prior to and one week after your eyeliner procedure. Lips: If you have any history of cold sores/ fever blisters/ herpes simplex, or shingles you must contact your physician to obtain and take the proper prescription medication to prevent such outbreaks for at least 4 days before and after the procedure. Many physicians prescribe 12 capsules of 500mg Valtrex. Follow your physician's instructions. Two or three applications may be required to achieve the desired results. It is not uncommon to lose up to 70% of the color on the first application.

Perfectious Tatu 321-426-5302 www.perfectioustatu.com

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Post Procedure Instructions, Care and Healing Schedule Eyebrows, Eyeliner, Lip Liner, Full Lip and Beauty Marks

*A permanent makeup procedure is the equivalent of a skin deep wound. Like a scratch you might get around the house. Expect it to ooze a little, scab, itch during healing and heal in about the similar time frame. *A&D/Aquaphor ointment, Grapeseed, Coconut or Vitamin E Oil can be used twice a day is fine until healing is complete. Do not rub, wipe or scratch area and use patting motions only. Icepacks can be used as needed. *Ibuprofen or favorite pain reliever may be used to reduce swelling or discomfort. *Do not wear makeup for 72 hours post. *No sun, pools, hot tubs or cream usage. Lubricating eye drops can be used if that is a common habit already.

Eyelash Enhancement/Eyeliner Day and effect - Swollenness and heavy eye makeup look is normal for 2 days. Swelling decreases with a tight feeling and pigment will begin to lift away from skin. Itching is normal. DO NOT PICK AT IT. Blinking movement will help remove ink flaking. Color may be somewhat grayish and will take a few days to clarify full color.

It is not important to apply ointment to your procedure area as it will be moist through your showering and face washing. Ointment listed above can be used in a small quantity with a clean Q-tip if area is very itchy or sore. Do not wear contact lenses for 48 hours. Wear sunglasses to protect from sun.

Eyebrows/Hairstokes Your skin under the pigment is red and swollen so eyebrows will be aprox. 25% darker in color and width than they will be when healed. This will last about 2-3 weeks. Exfoliation will begin a few days after and will cause excess pigment to flake away and a more narrow appearance will result. Ointment of your choice listed above should be used twice a day with a clean Q-tip.DO NOT PICK AT IT.

Lip Liner/Full Lip Color Swelling, tender, heavy lipstick look is normal for first few days and possibly even a metallic flavor. Exfoliation and very chapped lips is also to be expected. Lip color will seem to disappear and a "frosty* appearance stage will begin and color will return a few days after that. Lips may be very dry so feel free to use a good lip balm with NO fragrance in it.

Ointment of your choice listed above 3 times a day for a minimum of 7 days with a clean Q-tip. Do not allow lips to become dry. DO NOT PICK AT IT. Drink through a straw, choose foods that would be used with a fork so it won't be touching your lips, be careful brushing your teeth (toothpaste does tend to extract color Do not bite into greasy, oily, salty or spicy foods cut them up and use a fork and place them in your mouth. Lip gloss can be used after 2 weeks you must purchase a new tube as your still in a healing process and do not want to cause infection. Continue taking anti-herpes medication to prevent cold sores.

PLEASE FOLLOW DIRECTIONS FOR YOUR BEST HEALING !!!!!!!!!

PS - We will provide additional paperwork of your healing directions after the procedure

Confidential Medical Record Profile for : Perfectious Tatu

Permanent Makeup/Cosmetics (tattooing) is an invasive procedure that requires a thorough medical history. Please complete this questionnaire honestly and fully.

If all forms are not completely filled out and signed procedure will not be done.

Name*

Age*

DOB*

Address*

Address

Street Address Line 2

CityState

Zip

Phone*

Email*

example@example.com

Emergency Contact

Phone

Are you UNDER the age of 18*

Have you had any blood thinning products in the last 7 days*

Any previous problems healing with tattoos or wounds*

Are you allergic to any topical antibiotics, desensitizers (vasoline/neosporin/"Caine" drugs)*

Do you suffer from major sinus issues *

Are you a smoker*

Do you have any respiratory or circulatory problems*

Have you been treated by a dermatologist in the last year*

Are you pregnant or nursing *

Are you currently using antibiotics, steriods or mood altering drugs*

Do you have a history of skin sensitivities or diseases*

Do you have a history of COLD SORES or Shingles*

Have you had or plan to have a chemical/laser peel or microdermabrasion*

Do you sun bathe or use tanning beds*

Please explain questions above that are answered YES.

Cancer Post or to date

Date

Do you have any of the following

Date*

Date

Client Signature*

Perfectious Tatu Informed Consent

The Nature and method of proposed permanent makeup (tattoo) has been explained to me as having the usual risks inherent in the procedure and the possibility of complications during and following its performance.

I understand that there may be a certain amount of discomfort or pain associated with the procedure and that other adverse side effects may include minor or temporary bleeding. bruising, redness, or other discoloration and swelling : fever blisters may occur on the lips following a lip procedure for individuals prone to this problem.

Secondary infection in the area may occur, however, if properly cared for it is rare. - acknowledge by signing below that I have been given the full opportunity to ask any and all questions which I might have about the obtaining of permanent cosmetic procedures from Cheryl Welford of Perfectious Tatu. I also acknowledge that all of my questions were answered to my full and total satisfaction.

Please INITIAL all of the following *All areas must be initialed in order for procedure to be performed*

YOU MUST INITIAL EACH OF THE FOLLOWING ** ALLAREAS MUST BE INITIALED IN ORDER FOR THE PROCEDURES TO BE PREFORMED ** I am over the age of 18 and in sound, mind, body and health.*

I am not under the influence of drugs or alcohol*

I have been given full healing instructions and I understand that if I do not follow these my procedure can get infected or may not heal properly.*

Should I have any medical or skin conditions that could interfere with my procedure or I must reveal this to my technician before the procedure begins.*

I realize that my body is unique and the technician cannot predict how my skin may may react as a result of this procedure.*

I agree to reimburse the technician Cheryl Welford, Perfectious Tatu, for any attorney's and cost incurred in any legal action I bring against her and her business. I agree that the of Florida and or Brevard County shall have personal jurisdiction of the purpose of any dispute arising out of or related to this agreement.*

I acknowledge that obtaining this permanent cosmetic procedure is by my choice alone and I consent to the application of the procedure and its attendant risks.*

I understand that having a tattoo will exclude me from donating blood for 6 months.*

Due to the fact that approval is obtained prior to final selection of color to be implemented design application(s) to be applied, Perfectious Tatu employs a no refund policy.*

I understand that the Herpes Zoster 1 Virus (fever blisters, cold sores) may manifest with the lip procedure due to trauma of the procedure.*

For Valuable consideration, I hereby irrevocably consent to the use of by Cheryl Welford, Perfectious Tatu. of my photographs taken this day or sent in by me.*

I have read and understand the contents of each statement above. I acknowledge this is and that I have received no warranties or guarantees with respect to the benefits to be from, or consequences of, the aforementioned procedures, was of sound, mind, and of making independent decisions by myself.*

Client Printed Name Client Signature

Client Printed Name*

Date*

Date

Client Signature*

I have personally reviewed the above information with my client or client's representative. Technician Printed NameDate Technician Signature

PLEASE DO NOT SIGN THIS AREA< THIS IS FOR THE TECHNICIAN Technician Signature

PLEASE DO NOT DATE THIS AREA< THIS IS FOR THE TECHNICIAN Date

Date