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If you answered „Yes" to some of the questions, it does not automatically mean that you are <br /> not a suitable candidate for the treatment. Collecting data is of great significance to us <br /> because each client is a different individual thus an individual approach is required. The <br /> information you provided could also help in determining whether consultation with your <br /> doctor prior to the treatment is necessary or not. <br /> If you suffer from a disease/condition that is not mentioned in the table, please inform us on <br /> that and indicate what it is about: <br /> The information you provided is confidential and it will be treated that way. It will not be <br /> disclosed to a third party. <br /> CONTRACTUAL OBLIGATIONS: <br /> I consent to photography, filming, recording, and/or digital imaging of the treatment to be <br /> performed and usage of the photos for the advertasing purpose. <br /> YES NO <br /> DISCLAIM RESPONSIBILITY <br /> With this agreement, the Artist shall be exempt from all subsequent claims, demands, com- <br /> pensation of damages, actions and causes of action arising from the provided service. <br /> EXPLANATION: <br /> The client is informed in detail by the Artist on the specific risks which may arise from the <br /> microblading treatment. <br /> The following risks are particularly explained to me as a client: <br /> • Regardless of the staff's expertise and all safety precautions, an injury may occur <br /> during the treatment. Despite using the latest and best pigments, an allergic reaction is <br /> possible, but rare. The client is aware of that and bears responsibility. <br /> • During and after the treatment, a temporary swelling, redness and/or itching may <br />