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4100 – Safe Body Art
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PR0542033
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COMPLIANCE INFO
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Last modified
3/8/2024 12:25:30 PM
Creation date
3/22/2021 9:48:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0542033
PE
4120
FACILITY_ID
FA0024127
FACILITY_NAME
LUMIERE SPA (CARRANZA, GEORGINA)
STREET_NUMBER
15
Direction
W
STREET_NAME
OAK
STREET_TYPE
ST
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
15 W OAK ST
P_LOCATION
02
QC Status
Approved
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EHD - Public
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FEWER LRST INGMICROBLADING/PMU PRE PROCEDURE ADVICE <br /> I <br /> Please read the following advice carefully and sign at the end. <br /> Microblading/PMU procedure normally require multiple treatment sessions. For best results, <br /> clients will be required to return for at least one re-touch appointment. This will take place <br /> between 4-6 weeks after the initial procedure. <br /> Please be prepared that colour intensity will be significantly darker and sharper <br /> immediately after the procedure.This will reduce by 30%-50% <br /> Although numbing cream is used during the procedure,slight sensitivity/discomfort <br /> can be still felt by sensitive clients. <br /> Delicate or sensitive skin maybe red and/or swollen after the procedure. <br /> Please wear your normal make-up to the salon on the day of your procedure. <br /> Please do not drink alcohol the night before treatment. <br /> Where passible-i try'to avoid the fol irg-=herbs and spices running up to your <br /> appointment: Black pepper(Piper nigrum), Cardamom(Elettaria cardamomum), a member of <br /> the Zingiberaceae (Ginger), Cayenne (Capsicum frutescens) Cinnamon (Cinnamomum cassia), <br /> Garlic (Altium sativum), Ginger (Zingiber of icinale), Horseradish (Armoracia lapathifolia), <br /> Mustard <br /> A patch test will be performed,unless waived upon request. <br /> Any brow shaping using waxing should be performed at least 48hrs before the treatment. <br /> Electrolysis treatment should be undergone no less that 5 days before the treatment. <br /> e AHA preparations should be undergone no less than 2 weeks before the treatment. <br /> Chemical,laser peel retain A should not be performed 6 weeks before the procedure. <br /> If you are having manual lips procedure and have suffered from herpes before, it is <br /> advised to take antiviral medicine at Least a week prior to the treatment. <br /> Topical anesthetic advice <br /> Allergic reaction:can occur from any anesthetics using during procedure.if you do suffer from <br /> an allergic reaction, you should contact your doctof immediately. Allergic reaction response <br /> may show through redness, swelling, rash, blistering, dryness or any other symptoms <br /> associated with an allergic reaction. <br /> Numbness:We cannot accept-r0 ponsiblllty if the area to be treated does not respond to the <br /> numbing cream.Each individual is different according to skin type.Some clients report the area <br /> to be completely numb,while others may experience some discomfort. <br /> Procedure: For microblading/PMU procedure a numbing cream/gel is used.The products are <br /> formulated to be perfectly safe and can be purchased''over the counter from any,-pharmacy/ <br /> chemist. The anesthetic is placed over the treatment area for 20-30 minutes then carefully <br /> removed prior to treatment. As a result of the treatment, combined with the use of the <br /> anesthetic you can expect to experience some redness/swelling that can last 1 -4.days.You <br /> should always follow your post procedure advice/after care for the best results. <br /> I have read and fully understood the above information provided and any <br /> risks involved with the use of topical anesthetic and I therefore consent <br /> to the use of the anesthetic for the microblading PMU procedure. <br /> I agree to follow pre-procedure advice closely <br /> Client's Name: Surname: Date: <br /> Therapist's Name Surname: Date: <br /> 0 Everlasting Brows Client Consultation Form 2017 <br />
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