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Permanent Makeup AO& <br /> Consultation Check List & Treatment Plan <br /> O*-, r_ .40—eft—hu <br /> TREATMENT CARRIED OUT Date: <br /> Pigment Colours Used <br /> Brand Needle Selection <br /> Procedure notes <br /> Agreed fee Deposit Paid Retouch Fee <br /> Technician name Signature <br /> Retouch Treatment <br /> Any change in medical history since initial procedure? <br /> Client Signature Signature <br /> Pigment Colours Used <br /> Brand Needle Selection <br /> Procedure notes <br /> Technician name Signature <br />