All information is collected by Ivonne Sanchez Beauty pursuant to O. Reg. 136/18: PERSONAL SERVICE SETTINGS and The Personal Information Protection and Electronic Documents Act (“PIPEDA “).
The words “I”, “you” and “your" are used interchangeably throughout this agreement and in all cases refer to you the client who is receiving the treatment or procedure.
“Practitioner”, “technician”, “instructor” and “we” means 10981508 CANADA INC. (“Ivonne Sanchez Beauty”), its staff or contractors.
Permanent Makeup Informed Consent
No guarantee can be given to me as to the condition of my skin or degree of improvement expected following my procedure(s).
I understand that there are no refunds.
I understand that I must follow the provided aftercare instructions given to me by my technician and that I must always wash my hands before touching the treated area. (If applicable)
If outdoors, I will apply broad spectrum sunscreen with SPF-30 or higher, 30 minutes prior to sun exposure and wear daily until all areas treated have healed and after the treated areas have healed 100% or 3-6 months.
I agree that I will not go on a sun vacation within 30 days of receiving my permanent makeup service, and that if I do this voids any assurances that may have been provided to me. A sun vacation will almost certainly ruin the results of permanet makeup. I will not be eligible for a touch-up or correction if I have been in the tropical sun.
I understand that should any other artist or beauty professional work on my Eyebrows/Lips/Eyeliner or Skin that this will void any expected results and the process may need to start over again.
I understand that Permanent Makeup is a form of tattoo, and therefore pigments may stay in my skin permanently (however there is no guarantee).
I understand that only eyebrow tattoo (microblading or nano brow) can be removed with saline or laser removal, but eyeliner and lips are non-removable.
In rare cases, allergies or sensitivities have been reported in products used during treatments (topical numbing).
I understand that the following 11 items are contraindications (conditions) that may disqualify me as a candidate for permanent makeup procedures:
- Infected skin disorder, open cuts, wounds, abrasions
- Patients with cardiovascular disease must have doctor’s consent
- A pacemaker is a direct contra-indication
- Highly anxious patient
- Epileptic – electrical currents may precipitate an attack
- Pregnancy – electrical currents may precipitate labor
- Sunburned or irritated skin
- Untreated sinusitis – can cause pain in sinus area
- Numb area without sensation
- Diabetes – a separate consent from physician may be required
- If currently taking blood thinners
- I am not a candidate for any permanent makeup appointment if I have received or am scheduled to receive Botox or other filler injections within 2 weeks prior or 2 weeks after my PMU appointment. There must be at least 2 weeks between your injectible services and your PMU service.
I understand that the following possible side effects and/or risk could occur:
As per per page 85 of the Guide to Infection Prevention and Control in Personal Service Settings guide it cites “Infection risk: Tattooing induces physical damage to the skin, which may cause or promote infections if microorganisms are introduced under the skin during the process. The potential sources of microorganisms include:
• Tap water used to dilute the ink. (Note: Ivonne Sanchez Beauty does not use tap water to dilute its pigments and instead uses steril dilution fluids).
• Contaminated and/or improperly reprocessed equipment or ink (Ivonne Sanchez Beauty adheres to sanitation protocols and does not reprocess single-use products)
• Client’s own bacteria on the skin.
• Unclean hands touching the treatment area.
Potential infections can be caused by bacteria (e.g., Mycobacterium spp. or Staphylococcus aureus), fungi (e.g., Candida endophthalmitis), or even viruses (e.g., human immunodeficiency virus [HIV], hepatitis B virus, hepatitis C virus)”
Most people heal without any problem. However, here are some problems that you may encounter; If you are prone to fever blisters (herpes simplex) then it is recommended to get a prescription for an anti-viral such as: Zovirax, Acyclovir, or equivalent to take prior to your treatment. This is REQUIRED.
If the skin becomes painful and increasingly red, then you may have developed an infection and you must consult your physician immediately.
In most cases, redness will begin to subside within 2-4 days, some cases may take longer if a more aggressive treatment is performed. Pinkness may take up to one month to fade. This is not uncommon.
Do keep the treated areas clean. You can wash with a gentle cleanser as often as needed then re-apply moisturizer. Avoid retinols for 10 days after the procedure.
I understand that the treated area can remain pink for up to 1 month or sometimes longer and will gradually lighten with time. (Each client will heal differently).
AVOID EXPOSURE TO DIRECT SUNLIGHT UNTIL THE AREAS HAVE COMPLETELY HEALED. (3-6 months)
I have read and understand the contents of this consent.
Addendum to Consent.
I understand that having tan skin at the time of the appointment is a contraindication in permanent makeup. Tan skin will bleed, possibly heal darker and can or will fade to an ashy colour as the tan fades. The pigment CAN and WILL heal more “solid” or “powdered”. The hair strokes can look thicker, appear blurry under the skin, change in colour, fade prematurely or not retain at all. These are all potential risks that I accept may or may not happen.
NO guarantees have been made to me as to the final results.
I fully understand and accept the above-mentioned risks and will hold Ivonne Sanchez (Ivonne Sanchez) harmless if mentioned risks do occur. I understand that appointments will not be made any sooner if the above-mentioned risks occur and there may be a chance that any future procedures may not be performed. This is left up to the discretion of Ivonne.
Against Ivonne’s recommendation, I wish to proceed.
Addendum to Consent.
Oily to Severely Oily Skin and Large Pores
I understand that having oily/severely oily skin or large pores are contraindications in permanent makeup. Due to the over-production of the oil glands in the skin and the size of the pores, the pigment CAN and WILL heal more “solid” or “powdered” looking. The hair strokes can look thicker, appear blurry under the skin, change in colour, fade prematurely or not retain at all. These are all potential risks that I accept may or can happen.
NO guarantees have been made to me as to the final results.
I fully understand and accept the aforementioned risks and will not hold Ivonne Sanchez (Ivonne Sanchez) accountable if the aforementioned risks or outcomes occur.
Against Ivonne’s recommendation I wish to proceed anyway with microblading and or micro-shading.
I understand that appointments will not be made any sooner if the above risks occur and there may be a chance that any future procedures may not be performed. Any decision is left to Ivonne’s discretion.
BB Glow Informed Consent
I understand that BB Glow service is a cosmetic service and NOT a therapeutic service like microneedling. I understand that BB Glow is a process that involves applying permanent blush pigments into the outermost layer of the skin (epidermis) and is intended to last for only several weeks or up to several months depending on the number of applications. BB Glow is first and foremost a pigmentation process and while it covers up blemishes and provides an even tone it is not meant to resolve any underlying skin concerns.
Cancellation Policy and Reminders.
All bookings are recorded in an online booking system. This system will send an e-mail confirmation to you of your scheduled appointment at the time that the scheduling is made. The booking system will also send a follow-up reminder e-mail 24 hours prior to your scheduled appointment. Unfortunately, we do not have a telephone reminder service.
A $100 deposit is required in order to make a booking for services. This will be applied to your scheduled service subject to the cancellation policy.
All cancellations and appointment rescheduling requests must be made at least 48 hours prior to the start of your scheduled appointment time.
The following events will result in the loss of the $100 booking deposit and/or 100% charge of service:
- Cancellations without a minimum of 48 hours notice; or
- Cancellations with 48 hours notice but where a new booking is not made
*When you cancel your appointment without sufficient notice this impacts 3 people:
- You, as you then miss out on your scheduled service that you were so looking forward to;
- Me, as I lose out on half a day of work doing what I love; and
- My other clients who otherwise would have made a booking for the time you did not use
I understand and agree to the above cancellation policy.
Customer Satisfaction and Feedback.
If I am unhappy with the results or service, I will not take to the internet to air my grievances of Ivonne Sanchez, Ivonne Sanchez Beauty in any online forum including but not limited to: Google Reviews, Facebook Reviews, Instagram, Facebook, or Twitter. I will instead contact Ivonne privately in order to allow her to work with me to find a solution.
Today's Date: October 31, 2020