CONGRATULATIONS!!! 
Your one step closer to throwing your brow pencil away!!

* Please fill out the questions below, truthfully. It is like a tattoo, therefore, it will HEAL like a tattoo. Please be mindful if you may have an allergic reaction or any discomfort during the healing process to seek a medical professional.

* As with anything that is new, it will be a "WOW FACTOR". Something you are not used to. Please be mindful that because it will be a wow factor it could take some time to get used to. However, we will ensure that they will be beautiful and you will be satisfied before leaving your appointment. They will NOT BE TWINS BUT WE WILL MAKE THEM MATCH AS BEST A POSSIBLE 

 MUST READ:

 * DO NOT CHEW GUM DURING YOUR APPOINTMENT. YOU MUST REMAIN VERY STILL DURING BROW MEASUREMENTS

* If you have an IMPORTANT upcoming special EVENT within 6 weeks of your appointment date. Please reschedule or contact 706-372-0277

● Please have your Identification card (ID OR GOVERNMENT ISSUED ID) ready.

● Please alert your technician if you have taken any of the following on the day of your appointment: DO NOT TAKE:

• Alcohol

• Tumeric 

• Accutane 

• Taken blood thinners

• Cancer/Comprised immune system

• BLOOD DISEASES (HIV/HEPATITIS)

Avoid alcohol, caffeine, ibuprofen, aspirin and fish oil supplements for at least 24 hours prior to your appointment.

• Be prepared to lay very still for a long period of time. Many clients bring headphones to listen to music during their appointment.

• Avoid waxing, tinting, threading or tweezing your eyebrows 5 days prior to procedure. Skin will be highly sensitive. 

• Clients often find it helpful to bring in pictures of their ideal brow shape or color as it helps them to communicate their aesthetic goals with your PMUA technician.

You may also fill in your brows with a brow pencil to your liking before you arrive or show a picture.

* This does not guarantee your shape will be EXACTLY as your picture or brow fill in. 

 Emergency Contact in case of an emergency. 

(NOT YOURSELF)

Medical History Inquiry

CONSENT

I certify that I am over the age of 18, and not under the influence of drugs or alcohol, and I consent to receiving the eyelash extensions and /or microblading procedure. I have been informed and it was explained to me the general nature of cosmetic tattooing as well as the specific procedure to be performed.

I understand the after care instructions and I am fully responsible for properly caring for this cosmetic service/procedures. This service is 100% non-refundable. 

I understand that this cosmetic procedure is not fully permanent and might result to fading in time. I have likewise received and will strictly adhere to procedural instructions given to me. Any adverse effects due to my failure to adhere to the instructions shall solely be my responsibility.

We may advise to do a patch test to identify any allergic reaction to any medicine or anesthetics. If we feel you would need one. Should you waive for the suggested test, you release the technician from liability if you develop an allergic reaction to any of the procedure.

I acknowledge that my brow hairs will not all be permanently removed from this procedure. I may need to undergo other laser hair removal, plastic surgery or other procedures. To remove brow hairs not in the frame of the tattoo brow shape.

I understand that photographs will be taken for comparison of the before and after procedure are part of the said procedure and/or for promotional purposes. To then POSSIBLY be posted to CHARMED BEAUTY COMPANY website and/OR social media.

I accept full responsibility for the decision to have this permanent makeup procedure completed. The cost for touch-up’s for permanent makeup after this first procedure is not included in the initial service price. 

If you are unsatisfied by the service to contact Charmed Beauty Company so that we are able to resolve the issue. We will not offer any refund of any kind. Through any payment services (Sezzle or Afterpay as well). We ABSOLUTELY do not offer REFUNDS of any kind. By signing this consent form, you FORFEIT the right to sue in small claims, civil courts and you will not claim any legal action against Charmed Beauty Company. 

 **** If you are a Microblading (PERMANENT MAKEUP STUDENT MODEL) or Lash model for demonstration. Please note, Charmed Beauty COMPANY is not responsible for any medical, financial or physical responsibility or personal injury. The student will perform your service with the guidance of the training instructor. *****

You MUST upload a driver's license or any legal personal identification card of yourself with a birth date.

Take a picture with this link below or upload a picture if you have one already saved into your phone. This is for proof of age for legal documentations audits performed by the COLUMBIA COUNTY HEALTH DEPARTMENT OF GEORGIA.