1. Client Information
2. Medical History
General Health
Skin Health
3. Previous Semi-Permanent Makeup and Treatment
5. Pre-Procedure Guidelines
Please initial next to each statement to acknowledge that you understand and agree to the following:
6. Post-Treatment Care
Please initial to confirm that you understand the following aftercare guidelines:
7. Risks and Complications
Please read and initial each statement:
8. Consent for Treatment
By signing below, I confirm that I have provided all necessary and accurate medical information, and I consent to the semi-permanent makeup procedure. I am fully aware of the nature of the procedure, possible risks, and aftercare instructions. I release the technician and the facility from liability for any adverse effects or complications that may arise.
Photography and Marketing Consent (Optional)