COMPLIANCE INFO - Laserfiche WebLink

Home Browse Search

Jess Klein @iinkbyJess General Consent and Procedure Permit Clients Full Name Date of Birth Phone number Referred by I hereby authorize Jess Klein to perform upon myself permanent cosmetic enhancement. If any unforeseen condition arises during the procedure(s), I further request and authorize her to use her full judgment and do whatever he/she seems advisable and necessary in the circumstances. I understand that permanent cosmetic enhancement is an advanced form of tattooing. I accept responsibility for determining the colour, shape and position of the enhancement as agreed during my consultation (1st part of treatment). I understand that a sensitivity test for pigment does not guarantee that I will not have an allergic response. I am aware that allergic response to pigment is rare and accept all responsibility if allergic response occurs. I am aware that a sensitivity reaction to anesthetics can occur and accept all responsibility if an allergic response occurs. I fully understand and accept that non-toxic pigments are used during the procedure and that the cosmetic enhancement achieved may fade over the course of 1-3 years. Even though the colour has faded, the pigment will stay in the skin indefinitely and may leave a light residue of color. I accept that the highest standards of hygiene are met, and that sterile disposable needles are used for each individual client, procedure and visit. I understand and accept that each procedure is a process requiring multiple applications of pigment to achieve desirable results, and that 100% success cannot be guaranteed. I understand that therefore I need to return for a control procedure that is not included in the initial price and I will be charged a "top-up" additional fee(s). I understand that the touch up procedure, if required, will be performed at least 6 weeks after the initial procedure. I will be charged an additional fee for any PMU procedures. I understand that a touchup procedure takes place at least 6-8 weeks after the initial application to allow the procedure site to fully heal. I will book the appointment when it is convenient for both parties. I understand that the pigment may migrate under skin, however this is a rare occurrence. I understand that permanent cosmetic enhancement is an invasive procedure and the infusion process can be uncomfortable understand that loss of any eyelashes during the healing of permanent cosmetic eye enhancements will result in new eyelash growth over a 4-month period and that eyelash loss is rare.