Laserfiche WebLink
e� the <br /> Permanent Makeup a Tattoo <br /> CONSENT AND RELEASE AGREEMENT <br /> FOR PERMANENT COSMETIC PROCEDURE <br /> The Permanent Makeup Specialist,herein designated Specialist,who will be performing the requested permanent cosmetic procedure(s),and the <br /> undersigned client,herein designated Client,who will receive the permanent cosmetic procedure(s)are subject to the terms and conditions <br /> specified herein: <br /> This agreement to have a permanent cosmetic procedure is entered into by the Specialist and: <br /> Client's Name' <br /> Street Address <br /> City <br /> State <br /> Zip <br /> Email <br /> Phone Number <br /> AGREEMENT <br /> ACKNOWLEDGEMENT OF COMPLICATIONS ASSOCIATED WITH PERMANENT COSMETICS <br /> 1.The Client has been informed by the Specialist of possible risks.dangers,and complications associated with having a permanent cosmetic facial <br /> tattoo procedure performed.The Client acknowledges that these dangers may include:eye injury,allergies to any materials used in the process, <br /> fever-blisters and cold sores,swelling,bruising(although rare),temporary minor bleeding,redness,risk of spreading,fading,and fanning of pigment, <br /> and various other possible unintended or negative results of the procedure,some or all of which may not be desirable to the Client <br /> 2.Having been completely advised on all inherent risks,dangers.and complications associated with permanent cosmetic facial tattoo procedures. <br /> the Client hereby voluntarily assumes all risk of any possible negative result ensuing from the cosmetic procedures which are to be performed. <br /> 3.Client is aware that they must be 18 years of age or older to receive Permanent makeup Procedure. <br /> q.Client has been notified that all Permanent Cosmetic procedures are a permanent nature of procedure and can only be removed using Laser or <br /> saline removal.All removal costs are the clients responsibility. <br />