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Disclosure and Consent for Tattoo (clients need to read and sign) as a client 18 or older have requested that you describe the procedure to be utilized so that I may make an informed decision whether or not to undergo the procedure. You have described the recommended procedure to be used as a Microblading, the process of implanting micro insertions of pigment into the dermal layer of the skin. Microblading is a form of tattooing used for the purpose of semi-permanent cosmetic makeup and skin imperfection camouflage. I voluntarily request my technician to perform on my body the procedure of eyebrow Microblading. Please inifLal: I hereby authorize technician to take photographs of the work performed both before and after treatment, and I further authorize the use of said photographs to be used for the purpose of advertising. I have informed technician that I am in good health and not under the care of any physician. OR I am currently under the care of a physician and I am being treated for the following condition(s): Physician's Name: Phone Number: Address: City/State: Zip: Please initial: I understand that this description of the procedure is not meant to scare or alarm me. It is simply an effort to make me better informed so that I may give or withhold my consent for this procedure. I have been told that the pigment used in this procedure are not FDA approved and there may be known or unknown risks and hazards that no warranty or guarantees have been made to me as to the results. I acknowledge the manufacturer of the pigment to be applied requires spot testing and specifically disclaims any responsibility for any adverse reaction to applied pigments. I understand spot testing may individuals who develop immediate allergic reaction to pigment; however, spot testing does not identify individuals who may have delayed allergic reaction to pigment.