BILLING - Laserfiche WebLink

Home Browse Search

I understand that tattoo inks/dyes, and pigments have not been approved by the Federal Food & Drug Administration (FDA) and that the health consequences of these products are unknown. I understand that some permanent pigment can only be removed with a surgical procedure; effective removal may leave permanent scarring or disfigurement. I understand that under rare circumstances, misplacement of the permanent makeup pigment can occur, requiring excision of the misplaced permanent makeup pigment. I will receive aftercare instructions and will ask questions if I do not understand them. I agree to follow ALL instructions concerning care following my procedure. I am aware that I am required to return for a touch-up procedure at 8 weeks following my initial procedure. I understand I will be required to pay a fee for annual or subsequent touch-ups. PHOTOS FOR MEDIA RELEASE WAIVER Please mark only one. Please note Skin & Shades Studio is required to take before & after photos of all procedures for insurance purposes. The Media Release Waiver is separate and shall not affect that requirement. ❑I consent to the publication of photos and videos of my procedures and before and after results for marketing purposes by Skin & Shades Studio, including on social media, their website, and in printed and other marketing materials. OR El do not consent to the publication of photos and videos of my procedures and before and after results for marketing purposes by Skin & Shades Studio, including on social media, their website, and in printed and other marketing materials. COSMETIC TATTOOING CONSENT RELEASE Please initial each section to indicate that you have read and understand the following statements, and that you agree with these statements. I am not under the influence of drugs or alcohol.