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ThINK <br /> BEAUTY <br /> Pigment Shade(Scalp) Needle Lot# <br /> General Notes: Bleeding? Ease of pigment deposit <br /> 3. CLIENT CONSENT: Changes to hairline &side profiles prior to 31d treatment(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 second treatment, a cost may be <br /> incurred) <br /> Client Name: Client Signature: Date: _ <br /> Treatment Session 3 Date: <br /> Practitioner <br /> Pigment Shade (Scalp) Needle Lot# <br /> General Notes: <br /> Bleeding? Ease of pigment deposit: <br /> Treatment Session 4 Date: <br /> Practitioner <br /> Start Time Finish Time <br /> Pigment Shade (Scalp) Needle Lot# <br /> General Notes: <br /> Bleeding?Ease of pigment deposit <br />