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ThINK <br /> BEAUTY <br /> Client Treatment Record <br /> CLIENT CONSENT: TO BE COMPLETED PRIOR TO COMMENCING SMP TREATMENT 1 <br /> ❑ (check) I confirm my acceptance to undergo SMP scalp pigmentation & accept the shape & positioning of my <br /> new hairline &/or Scalp Pigmentation scar camouflage treatment. I also accept we have agreed density and <br /> style. <br /> ❑ (check) I confirm my practitioner has given advice on the best length to keep my hair following the SMP <br /> Client Name: Client Signature: Date: <br /> Treatment Session 1 Date: <br /> Practitioner <br /> Pigment Shade(Scalp) Needle Lot# <br /> Scarring Condition of Scalp: <br /> FUE/Strip: Raised Flat Indented Dry/Flaky/Oily/ <br /> General Notes(Ease of deposit) Bleeding, aftercare advice <br /> 2. CLIENT CONSENT: Changes to hairline &side profiles prior to 2"d treatment session (check all applicable) <br /> ❑ (check) I confirm my acceptance to undergo SMP scalp pigmentation &accept the change to shape & <br /> positioning of my new hairline &/or SMP scar camouflage treatment. I also accept we have agreed changes to <br /> density and style. (Note: Client to sign if any changes are made after the first treatment) <br /> Client Name: Client Signature: Date: <br /> Treatment Session 2 Date: <br /> Practitioner <br />