I fully understand that a deposit of $100 is required to schedule an appointment, in the event of cancellation of procedure with less than 48 hour notice, the deposit becomes non-refundable.

I absolutely understand that this procedure is a process and subsequent visits are necessary in order to achieve desired results.

The touch up procedure MUST be scheduled between 30 to 40 days, and a fee of $75 will be charged. If the client does not show up for the scheduled appointment without previous notice, an additional fee of $50 will be charged. If a second touch-up is necessary (up to 60 days after the first session) the $75 fee will be charge again.

Touch-up in 40 to 60 days, the fee will be $100. Touch-up in 60 to 90 days, the fee will be $150.

All touch-up scheduled after 90 days, from the procedure date will be charged full price.

There is a possibility of an allergic retain of pigments. A path test if advisable however it does not ensure a client will not have an allergic reaction.

Patch test: (You MUST make a separate appointment if you would like a patch test and wait 3 weeks for results)

If waived, I release the technician and assistants from liability if I develop an allergic reaction to the pigment. (Pigments contents are: Deionized water, non-ionic surfactant, vegetable glycerin USP, propylene glycol USP, and non-toxic pigments/iron oxide, lakes, alcohol, Glycerin and distilled sterilize water)

I acknowledge that NO GUARANTEES have been made to me concerning the results of this procedure. For the purpose of documentation, I also consent to the technician, salon or clinic.

Laser treatments or ANY kind of facial injections may also compromise your permanent makeup application.

I have read the above and had explained to me and fully understand this consent and procedure form: that the explanations therein referred to, were made, and I accept full responsibility for these or any other complications which may arise from results during or following that cosmetic procedure which is to be performed at my request according to this consent and procedure form.

I also understand that this procedure is semi permanent.

I will follow all after Care instructions explicitly. Failing to do so will compromise my final results.

Medical Consent and Procedure Chart

I certify that I have read and initialed the above paragraphs and have had explained to me and fully understand the above consent and procedure permit; that the explanations therein referred to were made and I accept full responsibility for these and/or any other complications which may arise or result during or following the cosmetic procedures (s) which is to be performed at my request according to this consent were filled in before I signed this statement.

I fully understand that a deposit of $100 is required to schedule an appointment, in the event of cancellation of procedure with less than 48 hour notice, the deposit becomes non-refundable.

I absolutely understand that this procedure is a process and subsequent visits are necessary in order to achieve desired results.

The touch up procedure MUST be scheduled between 30 to 40 days, and a fee of $75 will be charged. If the client does not show up for the scheduled appointment without previous notice, an additional fee of $50 will be charged. If a second touch-up is necessary (up to 60 days after the first session) the $75 fee will be charge again.

Touch-up in 40 to 60 days, the fee will be $100. Touch-up in 60 to 90 days, the fee will be $150.

All touch-up scheduled after 90 days, from the procedure date will be charged full price.

There is a possibility of an allergic retain of pigments. A path test if advisable however it does not ensure a client will not have an allergic reaction.

Patch test: (You MUST make a separate appointment if you would like a patch test and wait 3 weeks for results)

If waived, I release the technician and assistants from liability if I develop an allergic reaction to the pigment. (Pigments contents are: Deionized water, non-ionic surfactant, vegetable glycerin USP, propylene glycol USP, and non-toxic pigments/iron oxide, lakes, alcohol, Glycerin and distilled sterilize water)

I acknowledge that NO GUARANTEES have been made to me concerning the results of this procedure. For the purpose of documentation, I also consent to the technician, salon or clinic.

Laser treatments or ANY kind of facial injections may also compromise your permanent makeup application.

I have read the above and had explained to me and fully understand this consent and procedure form: that the explanations therein referred to, were made, and I accept full responsibility for these or any other complications which may arise from results during or following that cosmetic procedure which is to be performed at my request according to this consent and procedure form.

I also understand that this procedure is semi permanent.

I will follow all after Care instructions explicitly. Failing to do so will compromise my final results.

Medical Consent and Procedure Chart

I certify that I have read and initialed the above paragraphs and have had explained to me and fully understand the above consent and procedure permit; that the explanations therein referred to were made and I accept full responsibility for these and/or any other complications which may arise or result during or following the cosmetic procedures (s) which is to be performed at my request according to this consent were filled in before I signed this statement.

I fully understand that a deposit of $100 is required to schedule an appointment, in the event of cancellation of procedure with less than 48 hour notice, the deposit becomes non-refundable.

I absolutely understand that this procedure is a process and subsequent visits are necessary in order to achieve desired results.

The touch up procedure MUST be scheduled between 30 to 40 days, and a fee of $75 will be charged. If the client does not show up for the scheduled appointment without previous notice, an additional fee of $50 will be charged. If a second touch-up is necessary (up to 60 days after the first session) the $75 fee will be charge again.

Touch-up in 40 to 60 days, the fee will be $100. Touch-up in 60 to 90 days, the fee will be $150.

All touch-up scheduled after 90 days, from the procedure date will be charged full price.

There is a possibility of an allergic retain of pigments. A path test if advisable however it does not ensure a client will not have an allergic reaction.

Patch test: (You MUST make a separate appointment if you would like a patch test and wait 3 weeks for results)

If waived, I release the technician and assistants from liability if I develop an allergic reaction to the pigment. (Pigments contents are: Deionized water, non-ionic surfactant, vegetable glycerin USP, propylene glycol USP, and non-toxic pigments/iron oxide, lakes, alcohol, Glycerin and distilled sterilize water)

I acknowledge that NO GUARANTEES have been made to me concerning the results of this procedure. For the purpose of documentation, I also consent to the technician, salon or clinic.

Laser treatments or ANY kind of facial injections may also compromise your permanent makeup application.

I have read the above and had explained to me and fully understand this consent and procedure form: that the explanations therein referred to, were made, and I accept full responsibility for these or any other complications which may arise from results during or following that cosmetic procedure which is to be performed at my request according to this consent and procedure form.

I also understand that this procedure is semi permanent.

I will follow all after Care instructions explicitly. Failing to do so will compromise my final results.

Medical Consent and Procedure Chart

I certify that I have read and initialed the above paragraphs and have had explained to me and fully understand the above consent and procedure permit; that the explanations therein referred to were made and I accept full responsibility for these and/or any other complications which may arise or result during or following the cosmetic procedures (s) which is to be performed at my request according to this consent were filled in before I signed this statement.

I fully understand that a deposit of $100 is required to schedule an appointment, in the event of cancellation of procedure with less than 48 hour notice, the deposit becomes non-refundable.

I absolutely understand that this procedure is a process and subsequent visits are necessary in order to achieve desired results.

The touch up procedure MUST be scheduled between 30 to 40 days, and a fee of $75 will be charged. If the client does not show up for the scheduled appointment without previous notice, an additional fee of $50 will be charged. If a second touch-up is necessary (up to 60 days after the first session) the $75 fee will be charge again.

Touch-up in 40 to 60 days, the fee will be $100. Touch-up in 60 to 90 days, the fee will be $150.

All touch-up scheduled after 90 days, from the procedure date will be charged full price.

There is a possibility of an allergic retain of pigments. A path test if advisable however it does not ensure a client will not have an allergic reaction.

Patch test: (You MUST make a separate appointment if you would like a patch test and wait 3 weeks for results)

If waived, I release the technician and assistants from liability if I develop an allergic reaction to the pigment. (Pigments contents are: Deionized water, non-ionic surfactant, vegetable glycerin USP, propylene glycol USP, and non-toxic pigments/iron oxide, lakes, alcohol, Glycerin and distilled sterilize water)

I acknowledge that NO GUARANTEES have been made to me concerning the results of this procedure. For the purpose of documentation, I also consent to the technician, salon or clinic.

Laser treatments or ANY kind of facial injections may also compromise your permanent makeup application.

I have read the above and had explained to me and fully understand this consent and procedure form: that the explanations therein referred to, were made, and I accept full responsibility for these or any other complications which may arise from results during or following that cosmetic procedure which is to be performed at my request according to this consent and procedure form.

I also understand that this procedure is semi permanent.

I will follow all after Care instructions explicitly. Failing to do so will compromise my final results.

Medical Consent and Procedure Chart

I certify that I have read and initialed the above paragraphs and have had explained to me and fully understand the above consent and procedure permit; that the explanations therein referred to were made and I accept full responsibility for these and/or any other complications which may arise or result during or following the cosmetic procedures (s) which is to be performed at my request according to this consent were filled in before I signed this statement.

I fully understand that a deposit of $100 is required to schedule an appointment, in the event of cancellation of procedure with less than 48 hour notice, the deposit becomes non-refundable.

I absolutely understand that this procedure is a process and subsequent visits are necessary in order to achieve desired results.

The touch up procedure MUST be scheduled between 30 to 40 days, and a fee of $75 will be charged. If the client does not show up for the scheduled appointment without previous notice, an additional fee of $50 will be charged. If a second touch-up is necessary (up to 60 days after the first session) the $75 fee will be charge again.

Touch-up in 40 to 60 days, the fee will be $100. Touch-up in 60 to 90 days, the fee will be $150.

All touch-up scheduled after 90 days, from the procedure date will be charged full price.

There is a possibility of an allergic retain of pigments. A path test if advisable however it does not ensure a client will not have an allergic reaction.

Patch test: (You MUST make a separate appointment if you would like a patch test and wait 3 weeks for results)

If waived, I release the technician and assistants from liability if I develop an allergic reaction to the pigment. (Pigments contents are: Deionized water, non-ionic surfactant, vegetable glycerin USP, propylene glycol USP, and non-toxic pigments/iron oxide, lakes, alcohol, Glycerin and distilled sterilize water)

I acknowledge that NO GUARANTEES have been made to me concerning the results of this procedure. For the purpose of documentation, I also consent to the technician, salon or clinic.

Laser treatments or ANY kind of facial injections may also compromise your permanent makeup application.

I have read the above and had explained to me and fully understand this consent and procedure form: that the explanations therein referred to, were made, and I accept full responsibility for these or any other complications which may arise from results during or following that cosmetic procedure which is to be performed at my request according to this consent and procedure form.

I also understand that this procedure is semi permanent.

I will follow all after Care instructions explicitly. Failing to do so will compromise my final results.

Medical Consent and Procedure Chart

I certify that I have read and initialed the above paragraphs and have had explained to me and fully understand the above consent and procedure permit; that the explanations therein referred to were made and I accept full responsibility for these and/or any other complications which may arise or result during or following the cosmetic procedures (s) which is to be performed at my request according to this consent were filled in before I signed this statement.

I fully understand that a deposit of $100 is required to schedule an appointment, in the event of cancellation of procedure with less than 48 hour notice, the deposit becomes non-refundable.

I absolutely understand that this procedure is a process and subsequent visits are necessary in order to achieve desired results.

The touch up procedure MUST be scheduled between 30 to 40 days, and a fee of $75 will be charged. If the client does not show up for the scheduled appointment without previous notice, an additional fee of $50 will be charged. If a second touch-up is necessary (up to 60 days after the first session) the $75 fee will be charge again.

Touch-up in 40 to 60 days, the fee will be $100. Touch-up in 60 to 90 days, the fee will be $150.

All touch-up scheduled after 90 days, from the procedure date will be charged full price.

There is a possibility of an allergic retain of pigments. A path test if advisable however it does not ensure a client will not have an allergic reaction.

Patch test: (You MUST make a separate appointment if you would like a patch test and wait 3 weeks for results)

If waived, I release the technician and assistants from liability if I develop an allergic reaction to the pigment. (Pigments contents are: Deionized water, non-ionic surfactant, vegetable glycerin USP, propylene glycol USP, and non-toxic pigments/iron oxide, lakes, alcohol, Glycerin and distilled sterilize water)

I acknowledge that NO GUARANTEES have been made to me concerning the results of this procedure. For the purpose of documentation, I also consent to the technician, salon or clinic.

Laser treatments or ANY kind of facial injections may also compromise your permanent makeup application.

I have read the above and had explained to me and fully understand this consent and procedure form: that the explanations therein referred to, were made, and I accept full responsibility for these or any other complications which may arise from results during or following that cosmetic procedure which is to be performed at my request according to this consent and procedure form.

I also understand that this procedure is semi permanent.

I will follow all after Care instructions explicitly. Failing to do so will compromise my final results.

Medical Consent and Procedure Chart

I certify that I have read and initialed the above paragraphs and have had explained to me and fully understand the above consent and procedure permit; that the explanations therein referred to were made and I accept full responsibility for these and/or any other complications which may arise or result during or following the cosmetic procedures (s) which is to be performed at my request according to this consent were filled in before I signed this statement.

I fully understand that a deposit of $100 is required to schedule an appointment, in the event of cancellation of procedure with less than 48 hour notice, the deposit becomes non-refundable.

I absolutely understand that this procedure is a process and subsequent visits are necessary in order to achieve desired results.

The touch up procedure MUST be scheduled between 30 to 40 days, and a fee of $75 will be charged. If the client does not show up for the scheduled appointment without previous notice, an additional fee of $50 will be charged. If a second touch-up is necessary (up to 60 days after the first session) the $75 fee will be charge again.

Touch-up in 40 to 60 days, the fee will be $100. Touch-up in 60 to 90 days, the fee will be $150.

All touch-up scheduled after 90 days, from the procedure date will be charged full price.

There is a possibility of an allergic retain of pigments. A path test if advisable however it does not ensure a client will not have an allergic reaction.

Patch test: (You MUST make a separate appointment if you would like a patch test and wait 3 weeks for results)

If waived, I release the technician and assistants from liability if I develop an allergic reaction to the pigment. (Pigments contents are: Deionized water, non-ionic surfactant, vegetable glycerin USP, propylene glycol USP, and non-toxic pigments/iron oxide, lakes, alcohol, Glycerin and distilled sterilize water)

I acknowledge that NO GUARANTEES have been made to me concerning the results of this procedure. For the purpose of documentation, I also consent to the technician, salon or clinic.

Laser treatments or ANY kind of facial injections may also compromise your permanent makeup application.

I have read the above and had explained to me and fully understand this consent and procedure form: that the explanations therein referred to, were made, and I accept full responsibility for these or any other complications which may arise from results during or following that cosmetic procedure which is to be performed at my request according to this consent and procedure form.

I also understand that this procedure is semi permanent.

I will follow all after Care instructions explicitly. Failing to do so will compromise my final results.

Medical Consent and Procedure Chart

I certify that I have read and initialed the above paragraphs and have had explained to me and fully understand the above consent and procedure permit; that the explanations therein referred to were made and I accept full responsibility for these and/or any other complications which may arise or result during or following the cosmetic procedures (s) which is to be performed at my request according to this consent were filled in before I signed this statement.

I fully understand that a deposit of $100 is required to schedule an appointment, in the event of cancellation of procedure with less than 48 hour notice, the deposit becomes non-refundable.

I absolutely understand that this procedure is a process and subsequent visits are necessary in order to achieve desired results.

The touch up procedure MUST be scheduled between 30 to 40 days, and a fee of $75 will be charged. If the client does not show up for the scheduled appointment without previous notice, an additional fee of $50 will be charged. If a second touch-up is necessary (up to 60 days after the first session) the $75 fee will be charge again.

Touch-up in 40 to 60 days, the fee will be $100. Touch-up in 60 to 90 days, the fee will be $150.

All touch-up scheduled after 90 days, from the procedure date will be charged full price.

There is a possibility of an allergic retain of pigments. A path test if advisable however it does not ensure a client will not have an allergic reaction.

Patch test: (You MUST make a separate appointment if you would like a patch test and wait 3 weeks for results)

If waived, I release the technician and assistants from liability if I develop an allergic reaction to the pigment. (Pigments contents are: Deionized water, non-ionic surfactant, vegetable glycerin USP, propylene glycol USP, and non-toxic pigments/iron oxide, lakes, alcohol, Glycerin and distilled sterilize water)

I acknowledge that NO GUARANTEES have been made to me concerning the results of this procedure. For the purpose of documentation, I also consent to the technician, salon or clinic.

Laser treatments or ANY kind of facial injections may also compromise your permanent makeup application.

I have read the above and had explained to me and fully understand this consent and procedure form: that the explanations therein referred to, were made, and I accept full responsibility for these or any other complications which may arise from results during or following that cosmetic procedure which is to be performed at my request according to this consent and procedure form.

I also understand that this procedure is semi permanent.

I will follow all after Care instructions explicitly. Failing to do so will compromise my final results.

Medical Consent and Procedure Chart

I certify that I have read and initialed the above paragraphs and have had explained to me and fully understand the above consent and procedure permit; that the explanations therein referred to were made and I accept full responsibility for these and/or any other complications which may arise or result during or following the cosmetic procedures (s) which is to be performed at my request according to this consent were filled in before I signed this statement.

I fully understand that a deposit of $100 is required to schedule an appointment, in the event of cancellation of procedure with less than 48 hour notice, the deposit becomes non-refundable.

I absolutely understand that this procedure is a process and subsequent visits are necessary in order to achieve desired results.

The touch up procedure MUST be scheduled between 30 to 40 days, and a fee of $75 will be charged. If the client does not show up for the scheduled appointment without previous notice, an additional fee of $50 will be charged. If a second touch-up is necessary (up to 60 days after the first session) the $75 fee will be charge again.

Touch-up in 40 to 60 days, the fee will be $100. Touch-up in 60 to 90 days, the fee will be $150.

All touch-up scheduled after 90 days, from the procedure date will be charged full price.

There is a possibility of an allergic retain of pigments. A path test if advisable however it does not ensure a client will not have an allergic reaction.

Patch test: (You MUST make a separate appointment if you would like a patch test and wait 3 weeks for results)

If waived, I release the technician and assistants from liability if I develop an allergic reaction to the pigment. (Pigments contents are: Deionized water, non-ionic surfactant, vegetable glycerin USP, propylene glycol USP, and non-toxic pigments/iron oxide, lakes, alcohol, Glycerin and distilled sterilize water)

I acknowledge that NO GUARANTEES have been made to me concerning the results of this procedure. For the purpose of documentation, I also consent to the technician, salon or clinic.

Laser treatments or ANY kind of facial injections may also compromise your permanent makeup application.

I have read the above and had explained to me and fully understand this consent and procedure form: that the explanations therein referred to, were made, and I accept full responsibility for these or any other complications which may arise from results during or following that cosmetic procedure which is to be performed at my request according to this consent and procedure form.

I also understand that this procedure is semi permanent.

I will follow all after Care instructions explicitly. Failing to do so will compromise my final results.

Medical Consent and Procedure Chart

I certify that I have read and initialed the above paragraphs and have had explained to me and fully understand the above consent and procedure permit; that the explanations therein referred to were made and I accept full responsibility for these and/or any other complications which may arise or result during or following the cosmetic procedures (s) which is to be performed at my request according to this consent were filled in before I signed this statement.