IMPORTANT

As you answered 'Yes' to one or more of the above questions, your medical practitioner may advise you that you cannot receive IV fluids, and our professional team may deny you services.

Consent to Procedure

l acknowledge that obtaining the scalp micropigmentation is my choice alone, and I consent to the procedure, its potential risks, and any actions of the technician that are reasonably necessary to perform the procedure.

I hereby authorise the scalp micro-pigmentation procedure to relieve this facility and its employees and hold them harmless from all liability for injury that may occur to me.

I understand that this consent is being given in advance and is given voluntarily.

Procedure Photos

I understand that photos will be taken to monitor and document progress. I allow the digital images taken before, during and after my treatment to be used for social media for promotional purposes for treatments and training. Your face can be blurred out on request.