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PERMANENT MAKEUP INFORMED CONSENT PROCEDURE AREA & FEE: INFORMED CONSENT THE NATURE AND METHOD OF THE PROPOSED PERMANENT MAKEUP (PMU)(TATTOO) PROCEDURE HAS BEEN EXPLAINED TO ME AS HAVING THE USUAL RISKS INHERENT IN THE PROCEDURE AND THE POSSIBILITY OF COMPLICATIONS DURING AND FOLLOWING ITS PERFORMANCE. I UNDERSTAND THERE MAY BE A CERTAIN AMOUNT OF DISCOMFORT OR PAIN ASSOCIATED WITH THE PROCEDURE AND THAT OTHER ADVERSE SIDE EFFECTS MAY INCLUDE MINOR OR TEMPORARY BLEEDING, BRUISING, REDNESS, OR OTHER DISCOLORATION AND SWELLING.FADING OR LOSS OF PIGMENT CAN/MAY OCCUR DEPENDING ON YOUR SKIN AND LIFESTYLE, SECONDARY INFECTION IN THE AREA OF THE PROCEDURE MAY OCCUR, HOWEVER, IF PROPERLY CARED FOR, IS RARE. I, I ACKNOWLEDGE BY SIGNING BELOW, THAT I HAVE BEEN GIVEN THE FULL OPPORTUNITY TO ASK ANY AND ALL QUESTIONS WHICH I MIGHT HAVEABOUT THE OBTAINING OF ANY PERMANENT COSMETIC PROCEDURE FROM JENNIFER BOU AND/OR ANY ASSOCIATES. I ALSO ACKNOWLEDGE THAT ALL MY QUESTIONS HAVE BEEN ANSWERED TO MY FULL AND TOTAL SATISFACTION. I SPECIFICALLY ACKNOWLEDGE THAT I HAVE BEEN ADVISED OF THE FACT AND MATERS SEE BELOW, AND I AGREE AS FOLLOWS: • I ACKNOWLEDGE THAT IT IS NOT REASONABLY POSSIBLE TO DETERMINE WHETHER I MIGHT HAVE AN ALLERGIC REACTION TO ANY OF THE PIGMENTS, DYES, TOPICAL PREPARATIONS, OR PROCESSES USED IN THE PROCEDURE; AND I AGREE TO ACCEPT THE RISK THAT SUCH A REACTION IS POSSIBLE. I HAVE INFORMED THE PRACTITIONER OF ANY EXISTING PROBLEMS._____ • I UNDERSTAND THAT THIS PROCEDURE IS DONE WITH A DIGITAL DEVICE, FINE NEEDLE, AND PERMANENT MAKEUP INK.__ • I UNDERSTAND THAT THE TATTOO ARTIST WILL USE THE TOOLS STATED ABOVE TO CREATE LINES TO MIMIC HAIR OR SHADING FOR FULL COVERAGE. • I ACKNOWLEDGE THAT COMPLICATIONS ARE ALWAYS POSSIBLE AS A RESULT OF THE PERMANENT MAKE-UP PROCEDURE, PARTICULARLY IN THE EVENT THAT POST -PROCEDURAL INSTRUCTIONS ARE NOT FOLLOWED.___ _ • IF YOU HAVE HAD THE AREA (EYEBROWS, EYELINER, LIPS) DONE BEFORE, THERE IS A HIGHER CHANCE THAT THE PIGMENT MAY NOT RETAIN DUE TO UNDERLYING SCAR TISSUE OR COULD PULL DARKER._____ • I ACKNOWLEDGE THAT A TEST PATCH IS NOT OFFERED._____ • THE FIRST TOUCH UP IS $100 AND ANY SUBSEQUENT PROCEDURES ARE AN ADDITIONAL FEE. (SEE WEBSITE FOR PRICING). _____ • I REALIZE THAT MY BODY IS UNIQUE AND THE PRACTITIONER OR ANY OF THE PRACTITIONER'S ASSOCIATES CANNOT PREDICT HOW MY SKIN MAY REACT AS A RESULT OF THE PROCEDURE._____ • RED HEADS, BLONDES, AND FAIR SKIN (FITZ 1 -2 SKIN TYPES) WILL BE RED, SWOLLEN, AND PIGMENT MAY NOT RETAIN AT ALL. FUTURE APPOINTMENTS MAY NOT BE PREFORMED, THIS IS UP TO THE DISCRETION OF THE TECHNICIAN._____ • MOST PROCEDURES REQUIRE 2 APPOINTMENTS AND COLOR BOOSTS EVERY 2+ YEARS TO KEEP THE COLOR FRESH. • I ACKNOWLEDGE AND UNDERSTAND THAT IF I HAVE COMBINATION/OIL/SEVERELY OILY SKIN THE PIGMENT WILL HEAL/APPEAR MUCH SOFTER AND CAN LOOK MORE SOLID DUE TO THE OVER -PRODUCTION OF OIL GLANDS. THE PIGMENT WILL FADE QUICKER, LOOK BLURRED OR MORE SOLID. I ACCEPT THESE RISKS AND WOULD LIKE OT PROCEED. • FREQUENT TANNING OR SUN EXPOSURE WILL HEAL DARKER AND FADE THE PIGMENT QUICKER. IT IS NOT RECOMMENDED TO NOT HAVE A TAN/BURN (30 DAYS BEFORE/AFTER) ON YOUR FACE AT THE TIME OF YOUR PROCEDURE._____ • IF YOU ARE IN MENOPAUSE AND SUFFER FROM HOT FLASHES OR YOUR CORE TEMP RUNS HOT, YOUR PIGMENT WILL/MAY FADE, BLUR OR NOT RETAIN._____ • FREQUENT EXERCISING WILL CAUSE THE PIGMENTS TO FADE, BLUR OR NOT RETAIN AT ALL._____ ADORN BEAUTY INK