Permanent Makeup
Please complete this medical questionnaire and consent form prior to your treatment. All of your information is kept private and secure and is used to help us determine that you are a candidate for this treatment.
IF YOU HAVE COMPLETED THIS FORM WITHIN THE PAST 12 MONTHS, YOU DO NOT NEED TO DO IT AGAIN UNLESS SOMETHING HAS CHANGED. Please do not hesitate to ask us any questions.
Please read the following carefully. Please ask any and all questions that you may have.
Pregnant or nursingAt risk and sensitive due to changing hormones.
HemophiliaHigh Risk, cannot stop bleeding.
Heart Conditions/Pacemaker/Defibrillator High risk and on blood thinning medication. No exceptions.
Body Runs HotIncreased bleeding which prevents pigment deposit.
Bleeding DisordersIncreased bleeding which prevents pigment deposit.
Thyroid condition and taking medications for this conditionHypo or hyperthyroidism, graves disease, hashimotos, etc. result in thicker skin. More treatments may be required to achieve desired results.
Autoimmune Disorders such as Lupus or Frontal Fibrosing Alopecia (MS, RA, Lupus or the like)Due to the medications to treat these diseases the skin is altered and pigment will not retain. Also, the facial skin is typically not healthy and/or is bumpy. Pigment will not heal evenly.
Trichotillomania (compulsive pulling of face/body hair)Due to constant pulling scar tissue is prominent and pigment will not heal evenly/properly.
Use of Glaucoma Eye Drops (eyeliner clients only)Eyelash follicles and eyelids are hypersensitive and will bleed easily and pigment will not retain.
If you are on any of the following medications you may have excessive bleeding and pigment MAY NOT retain:
Aftercare is just as important - if not MORE important that the treatment itself. You must be 100% committed to following the provided instructions.
All of the aftercare instructions are available online at www.theperfectfeather.ca. Every client is emailed the instructions one week prior to your appointment.
Detailed aftercare instructions will be provided after your appointment along with cleanser, ointment, and damp cotton rounds. Please save the tubes of ointment and cleaners for your touch-ups!