Semi-Perment Make up Consent Form

• I confirm that I am over 18 years of age and affirm that I am not under the influence of drugs or alcohol. I further declare that I am not pregnant or nursing and express my desire to undergo the specified semi-permanent pigmentation procedure. I have received a comprehensive explanation regarding the general nature of cosmetic micro-pigmentation, as well as the specific procedure that will be carried out.I agree to have Microblading applied to my natural eyebrows. By signing this agreement.I consent to the procedure of Microblading by my technician.

• If any unforeseen condition arises during the procedure, I authorize my therapist to use their professional judgment to determine the necessary course of action under the circumstances. I take responsibility for selecting the color, shape, and placement of the Permanent Makeup procedure, as discussed during the consultation. I understand and acknowledge that non-toxic pigments are used during the procedure and that the achieved result may fade over a period of 6 Months -2 years. Even as the color fades, the pigment itself may remain in the skin indefinitely.

• I have been informed that strict hygiene standards are followed, including the use of sterile, disposable needles and pigment containers for each client, procedure, and visit.

• I understand the outcome of the procedure can be influenced by various factors, including medication, skin characteristics (dryness, oiliness, sun damage, thickness or thinness), personal skin pH balance, alcohol consumption, smoking, and post-procedure aftercare.

• I do not have any type of rash or infection anywhere on my body.

• I understand that I might have an allergic reaction to the pigment or anesthetic cream used inthe procedure and I accept the risk that such a reaction is possible.

• I agree that if I experience any of these medical conditions with in this procedure that I will contactmy technician and consult a physician at my own expense.

• I realize that variations in color may exist between the color selected and how it will ultimately look after my brows have healed.

• I understand that the procedure area will be dark for approximately the first few days and will lighten thereafter.

• The final result will often not be obtained without returning for a touch up visit to reshape or augment areas within the brow.

• I have/will recieve after care instructions and agree to follow them, I also agree that if I do not follow these instructiions, any touch-up needed will be done at my own expense.