Semi-Permanent Makeup Consent

Consent to application for the service(s) described in this contract. Please thoroughly read and sign the attached agreement.

I am over the age of 18, am not under the influence of drugs or alcohol, am not pregnant or breastfeeding, and desire to receive the indicated semi-permanent makeup procedure. The general nature of cosmetic tattooing as well as the specific procedure to be performed has been explained to me.

I have been informed of the nature, risks, and possible complications and consequences of semi-permanent makeup procedures. I understand the semi-permanent makeup procedure carries with it known, and unknown complications and consequences associated with this type of cosmetic treatment, including but not limited to; infection, scarring, inconsistent colour, spreading, fanning or fading of pigments. I understand the actual colour of the pigment may be modified slightly, due to the tone and colour of my skin. I fully understand this is a tattoo process and therefore not an exact science, but an art. I request the semi-permanent makeup procedure(s), and accept the permanence of the procedure as well as the possible complications and consequences of said procedure(s).

There is a possibility of an allergic reaction to pigments. A patch test is advisable however it does not ensure the client will not have an allergic reaction. I release the technician from liability if I develop an allergic reaction to the pigment or procedure.

I understand that if I have any skin treatments, laser hair removal, plastic surgery or other skin altering procedures, it may result in adverse changes to my semi-permanent makeup. I acknowledge some of these potential adverse changes may not be correctable.

I have received pre and post procedure instructions and I will strictly adhere to such instructions. I understand that my failure to do so may jeopardize my chances for a successful procedure. If I am on any medication for depression or any other mood altering prescription, I will advise my technician. If I have ever had cold sores, I will consult with and strictly follow my doctors instructions before contemplating any semi-permanent makeup procedure around my lips.

I understand that the taking of before and after photographs of the said procedure(s) are a condition of such procedure(s). I certify I have read and accepted the above paragraphs and am aware of all possible complications and I give credence to this procedure permit. I accept full responsibility for the decision to have this semi-permanent makeup procedure.

By signing this document and proceeding with treatment, I certify that I have read + understood all terms and contraindications explained and listed in the Medical History clause. I agree to follow closely all the pre and post-procedure instructions provided. I am liable for any unforeseen circumstances that occur caused by improper care of the treatment area(s) as instructed.

I confirm none of the following contraindications/conditions apply to me and my state of health. If I suffer from any of the following conditions or have a listed contraindication(s), I will notify my technician. I agree, any conditions or indications not verbally discussed with the technician could yield possible side effects and/or damage. I hold myself liable for any complications caused because of my failure to notify the technician of my medical condition(s).

-History of MRSA (Methicillin-resistant staphylococcus aureus), viral infections or BBP diseases

-Botox or dermal fillers in the last 2 weeks

-Diabetes

-Cold sores

-Hepatitis A, B, C or D

-Facial reconstruction

-Easy bleeding

-History of keloid scarring

-Abnormal heart condition

-Recent facial treatments ie. Chemical peels, miconeedling, laser treatments etc.

-Pregnant or breastfeeding

-Autoimmune disorder

-Oily skin

-Cancer

-Accutane

-Chemotherapy/radiation

-Tanning beds or self tanner on face

-Facial tumors/growths/cysts

-Difficulty numbing with dental work

-Currently taking blood thinners such as; Aspirin, Ibuprofen, Alcohol, Coumadin etc.

-Allergic reaction to any medications such as; Lidocaine, Tetracaine, Epinephrine, Dermacaine, Benzyl Alcohol, Carbopol, Lecithin, Propylene Glycol, Vitamin E Acetate etc.

-Allergies to metals, foods etc.

-Any diseases or disorders not listed

-Any active ingredients used in your skincare regime such as; Retin-A, Glycolic Acid, AHAs

Procedures completed as described in the contract are not subject to refunds. The Client will not be reimbursed for services once work has begun. All sales are final.

Pre & Post Care

Pre-procedure instructions for your upcoming semi-permanent makeup treatment:

1. Avoid Blood-Thinning Medications: Refrain from taking any blood-thinning medications or supplements (such as aspirin, ibuprofen, or fish oil) for at least one week prior to your appointment, unless medically necessary and approved by your healthcare provider.

2. No Alcohol or Caffeine: Avoid consuming alcohol or caffeine for at least 24 hours before your appointment, as they can increase sensitivity and lead to more bleeding during the procedure.

3. Avoid Sun Exposure: Minimize sun exposure and tanning bed use for at least a week before your appointment. Sunburned or overly tanned skin may not hold pigment well.

4. Avoid Waxing or Chemical Peels: Refrain from waxing, chemical peels, or laser treatments around the procedure area for at least two weeks prior to your appointment. Do not resume any method of hair removal for at least 2 weeks or until healing is complete.

5. Stay Hydrated: Drink plenty of water in the days leading up to your appointment to keep your skin hydrated.

6. Consultation: Attend any required consultations with your technician to discuss the procedure, desired outcomes, and any concerns you may have.

7. Medical Clearance: If you have any underlying medical conditions or concerns, consult with your healthcare provider before undergoing the procedure or stopping any medications.

Following these guidelines can help ensure a successful and satisfactory outcome for your semi-permanent makeup procedure. It is recommended to postpone social plans for a few days. Avoid the procedure at least a month prior to important life events.

Post care instructions for post semi-permanent makeup to help ensure proper healing and longevity of your procedure:

1. Keep the Area Clean and Dry: For the first week post-procedure, keep the treated area clean and dry. Avoid getting it wet during activities like washing your face or showering.

2. Apply Recommended Ointment: Your technician will provide you with a special ointment to apply to the treated area. Follow their instructions on how and when to apply it to aid in healing and prevent infection.

3. Avoid Touching or Picking: Refrain from touching or picking at the treated area to prevent infection and allow the pigment to settle properly.

4. Avoid Sun Exposure and Swimming: Avoid sun exposure, swimming, saunas, and hot tubs for at least one week post-procedure to prevent fading and complications.

5. Keep Hair Away: Keep hair and other potential contaminants away from the treated area to prevent infection.

6. Avoid Makeup and Skincare Products: Avoid applying makeup or skincare products directly on the treated area until it is fully healed to prevent irritation and infection.

7. Follow-Up Appointments: Schedule any recommended follow-up appointments with your technician to assess the healing process and perform any necessary touch-ups.

8. Be Patient: Understand that the color may appear darker initially and will lighten as it heals. Be patient and allow the pigment to settle for the final result.

9. Monitor for Signs of Infection: Keep an eye out for any signs of infection such as increased redness, swelling, or pus-like discharge. If you notice any concerning symptoms, contact your technician or healthcare provider immediately.

Following these aftercare instructions diligently will help promote proper healing and ensure the best possible outcome for your semi-permanent makeup procedure.

Cancellation & No-Show Policy

Please note there is a policy in place regarding appointment cancellations and no-shows. If you need to cancel or reschedule, please do so at least 48 hours before your appointment to avoid charges. If an appointment is cancelled or rescheduled within 48 hours, a fee of 50% of the treatment cost will be applied. Failing to show up for an appointment will result in a charge of 100% of the service fee. There is a 10 minute grace period after your appointment start time, anything beyond 10 minutes is considered a no-show and results in a charge of 100% of the service fee. Thank you for your understanding, as this policy ensures that the scheduled time can be efficiently utilized to accommodate other clients. If you have any questions or need to make changes to your appointment, please let us know as soon as possible.

Photo and Video Consent

I consent to the capture and use of photographs and/or video recordings for the purpose of documenting and tracking my medical or treatment progress. I understand that these images may also be used with appropriate discretion and without identifying information, for professional, educational, and promotional purposes, including but not limited to clinical records, internal training, social media, and other digital or print content.

I acknowledge that my identity will be protected where appropriate.