Laserfiche WebLink
I understand that if I have any skin treatment(s) it may result in adverse changes to my permanent <br />cosmetics. I acknowledge some of these potential adverse changes may not be correctable. <br />Initial <br />I have received pre- and post-treatment instructions and I will strictly adhere to such instructions. I <br />understand that my failure to do so may jeopardize my chances for a successful procedure. If I am on <br />any medication for depression or any other mood altering prescription, I will advise my technician. If I <br />have ever had cold sores, I will consult with and strictly follow my doctor's instructions before <br />contemplating any permanent cosmetic procedure around my lips. Initial <br />*inks are not FDA approved and health consequences are unknown <br />I understand that the taking of before and after photographs of the said procedure(s) are a <br />condition of such procedure(s). I certify I have read and initialed the above paragraphs and have <br />had explained to my understanding this consent and procedure permit. I accept full <br />responsibility for the decision to have this cosmetic tattoo work done. <br />Client / Model Signature: <br />Client/Model Name Printed: <br />Technician Name: <br />To be filled out by technician. <br />Date: <br />Needle Number Model Invoice/Lot # Tech Initials/Date <br />Date: I Ink Color #1 1 Ink Color #2 1 Ink Color #3 <br />Notes: <br />