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Date Time (Page 1) <br /> TANTR.A INK <br /> HOt_1SE OF PERMANENT MAKEUP <br /> �'I JII�JI frl� ( ,()I I H IT ['011\ I <br /> It can also be used to <br /> hide scars or help with an uneven hairline.This is preformed under a sterile environment <br /> Permanent makeup uses iron oxide: that pigments the skin, (his pigmentation can last between 1-5 <br /> years. The pigment vvill gradually fade over time,however for most people it will not fade <br /> completely, 'touch ups' of permanent makeup are advised usually after 3 6 months in order to <br /> achieve desired results <br /> With every treatment there are risks involved. It is important that you understand the risks prior to <br /> undergoing treatment. Ensuring you provide a full medical history can reduce these risks but even so <br /> there may be unforeseen risks that are presented. If you have any concerns regarding these risks,do <br /> not hesitate to contact your Healthcare Professional. <br /> RISKS AND COMPLICATIONS <br /> • Temporary Pain • Peeling • Swelling • Redness • Bruising <br /> • Scarring • Scabbing • Numbness • Infection • Swelling <br /> • Bleeding • Allergic Reaction • Anaphalaxis <br /> CONSENT <br /> Please initial: <br /> T_During the treatment,despite all the precautionary measures made by the Practitioner, injury <br /> is possible. I will not hold the Practitioner performing this service on me responsible in any issues <br /> that may arise because of having the procedure performed on me. <br /> I understand that there are risks associated with Permanent Makeup,if any sort of reaction <br /> occurs I will seek medical attention and inform my Practitioner. <br /> I understand that the color/outcome may not turn out as desired due to the undertone and <br /> health of my skin and that individual results will vary on each individual. <br /> It is my responsibility to advise the Technician of any concerns I may have before the <br /> procedure. <br /> I understand and agree to the aftercare instructions provided by my Technician. By not <br /> following the aftercare instructions I am aware that the desired results may not be achieved. <br /> IiondomtA net the�p*rma#*nc4i�--"tt .pmcWucoyand my skin will be pigmented with iron <br /> oxides that may never fade completely. <br /> I acknowledge and accept that no guarantees regarding the outcome of the procedure. <br />