Ink Link Lash Consent Form

PERMANENT JEWELRY IS A PROCESS THAT INVOLVES THE USE OF WELDING JEWELRY TOGETHER WHILE ON YOUR BODY. THE PROCEDURE IS PAINLESS & PERFORMED WITH YOUR SAFETY IN MIND. THIS FORM IS INTENDED TO INFORM YOU OF THE RISKS OF THE PROCEDURE & TO OBTAIN YOUR INFORMED CONSENT.

First + Last Name*

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

YESNO

I understand that although rare, an allergic reaction to the jewelry can occur.

I understand that the welding procedure does have some risks; including but not limited to potential allergic reactions, irritation, discomfort, burns, and scarring. I agree to the jewelry care instructions recommended by the technician.

I understand that although this jewelry is intended to be permanent, durable and long-lasting, the length of wear can vary depending on my physical activity and other factors. I understand that there may be some instances where I will be required to remove my jewelry, including but not limited to medical procedures like MRI and surgery.

I understand that the jewelry can easily be removed with scissors and re-attached by the jeweler at a later date.

I completed the above form to the best of my knowledge. I am over the age of 18 and consent to the procedure. I will not hold the jeweler, salon, or employees liable for any issues not disclosed at the time of my service or any adverse effects from the procedure.

Client Signature*

Date*

Date

CONSENT FORM