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Consent and Release Agreement for Permanent ! Cosmetics This form is designed to give information needed tomake aninformed choice of whether ornot to undergo apermanent cosmetics application. Ifyou have questions,please don't hesitate toask. Although permanent cosmetic tattooing Ioaffective inmost cases,noguarantee can bemade that a specific client will benefit from the procedure. | have been informed that tattoo inks,dyes,and pigments have not been approved bvthe federal Food and Drug Administration and that the health consequences of using these products are unknown. This is the process of inserting pigment into the dermal layer of the skin and is a form of tattooing. All instruments that enter the skin or come in contact with body fluids are sealed and sterilized before use and disposed mfafter use. Cross contamination guidelines are stickily adhered to. Generally,the results are excellent. However,aperfect result isnot arealistic expectation. It isusual to expect atouch-up after the healing|scompleted. Initially the color will appear much more vibrant or darker compared to the end result. Usually within ' 57days the color will fade 1O-S096,soften and look more natural. The pigment ispermanent but will fade somewhat overtime and will likely need tobe touched-up through the years. � Photography and Videography Release Consent ` Her Brows by Ludda insurance company requires"Befona and"After" betaken and kept i on file. We would like your permission to use these photos/videos for advertising. For example,|nportfolios, online and inprint ads,etc. Your consent ianecessary regarding this. Mease0lkto and indicate with your signature if you would like your photos/video used or not used in advertising. YES feel free touse them. NOplease donot use them. Signature Date: Special requests,concerns orremarks for technician: 6