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Clinical Outcome of Procedures) The results of your procedure are determined in part by nature of the pathology of skin type, but not limited to the following: Medications you are currently taking; your skin characteristics; personal pH balance of skin, tanning, fruitcaids, AHA's, and Retin A use; alcohol intake, smoking, sun exposure and improper skin care; following pre and post instructions. Initial I understand and accept such procedure is a process, often requiring afollow-up application of color to achieve desirable results and that 100% success is not guaranteed. Initial I acknowledge that obtaining permanent makeup is my choice alone, the application of permanent makeup will result a change in my appearance and that needles and pigments will go into my skin using only sterile disposable single use needles. No representations have been made to me as my ability to later restore the skin involved in permanent makeup to the original condition and can be costly to remove. Initial I acknowledge infection is always possible as a result of permanent makeup and I agree to follow all suggested instructions concerning the care of the site while it is healing. Possibilities may include: redness, minor bleeding, swelling, tenderness, allergic reaction, and/or keloid formation. Initial I understand that position of my procedures can be affected if I elect to have cosmetic surgery and/or cosmetic Botox and fillers. Initial I am aware that if I am to receive an MRI after the procedure, I must tell my healthcare professional that I have iron oxide permanent cosmetics. Initial I understand that this procedure is permanent in nature, but will fade over time. The fading cU" alter the original color and that this determines that it is time for touchups. Touchups can be done any time after 5-6 weeks. Then every two years as maintenance. Initial I agree to accompany my technician for blood testing in the event of accidental needle stick for their safety and disclose all test results to technician. Initial I understand that I must comply with recommended pre and post care and following it is crucial for the healing, preventing infection and results of treatment. Initial I understand that before and after pictures will be taken for purpose of documentation which may or may not be used for educational or advertising purposes. Initial I am over the age of 18 and not under any influence of drug or alcohol. Initial I am not pregnant.