CLIENT DISCLOSURE Please read the statements below, putting your initials before each one, to indicate: I understand the following completely: _____ That no warranty or guarantee has been made to me as a result of this permanent Makeup / camouflage / correction procedure, and that the final result cannot be guaranteed. _____ I realize that there is potential for discomfort during the procedure and during the healing process as well as a possibility of bleeding, swelling, and allergic reactions to the dye. _____ That microblading is considered semi-permanent, and it will fade with time. _____ That a microbladed semi-permanent tattoo may be removed with a surgical procedure, and that any effective removal may leave permanent scarring or disfigurement. _____ That misplacement of the dye can occur, under rare circumstances, requiring excision of the misplaced dye. _____ That the microblading hair stroke technique may not take well on top of old permanent makeup tattoo. _____ I understand that healing process is different for every person. Pigment loss or colour change normally happens in most of the cases during first week. I have to stay calm, not panic and return for the mandatory touch up session 4 to 6 weeks after initial session (when skin is completely healed). In some cases, additional touch up sessions may be required and a disposable material’s fee for additional touch up sessions will apply. _____ I have been given the opportunity to ask questions about the procedure, the risks, and the hazards involved. _____ I believe that I have sufficient information to give this informed consent. CLIENT ACKNOWLEDGMENT AND RESPONSIBILITY TO INFORM THE TECHNICIAN
CLIENT DISCLOSURE Please read the statements below, putting your initials before each one, to indicate: I understand the following completely: _____ That no warranty or guarantee has been made to me as a result of this permanent Makeup / camouflage / correction procedure, and that the final result cannot be guaranteed. _____ I realize that there is potential for discomfort during the procedure and during the healing process as well as a possibility of bleeding, swelling, and allergic reactions to the dye. _____ That microblading is considered semi-permanent, and it will fade with time. _____ That a microbladed semi-permanent tattoo may be removed with a surgical procedure, and that any effective removal may leave permanent scarring or disfigurement. _____ That misplacement of the dye can occur, under rare circumstances, requiring excision of the misplaced dye. _____ That the microblading hair stroke technique may not take well on top of old permanent makeup tattoo. _____ I understand that healing process is different for every person. Pigment loss or colour change normally happens in most of the cases during first week. I have to stay calm, not panic and return for the mandatory touch up session 4 to 6 weeks after initial session (when skin is completely healed). In some cases, additional touch up sessions may be required and a disposable material’s fee for additional touch up sessions will apply. _____ I have been given the opportunity to ask questions about the procedure, the risks, and the hazards involved. _____ I believe that I have sufficient information to give this informed consent. CLIENT ACKNOWLEDGMENT AND RESPONSIBILITY TO INFORM THE TECHNICIAN
Microblading-Consultation-and-Release-Forms.docx