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0 0 <br /> Eyebrows 'Eyeliner Lipsr <br /> 1. 1 absolutelyunderstand and accept that such a procedure is a process, often requiring ultiple <br /> applications of color to achieve that desirable Its and 100% success cannot be guaranteed. <br /> 2. 1 have received, reviewed and understand s procedure instructions as given to me and <br /> agree to follow them. <br /> 3. Depending on the procedure(s) which I select, I acceptresponsibility for determining the color, <br /> shape, and position of the eyebrows, eyeliners, lip liner, and/or Full lip color or other pigmentation. <br /> 4. 1 am a lens wearer, I realize that 1 must keep my lenses out the day of any eyeliner procedure. <br /> 5. 1 understand that this procedure will fade and can alter the original pigment color and that <br /> simply determines that it is time for a touchup visit. <br /> 6. 1 realize this is an elective cosmetic procedure, not an exact science and is not medically <br /> necessary. <br /> 7. It has been explained to me that the following ssiilities may occur: minor and temporary <br /> redness or swelling; fading or loss of pigment. <br /> 8. 1 understand that laser procedures for hair removal or parallel lines may work or will turn <br /> permanent lip color darker even black unless . <br /> 9. 1 understand that before and after photos are required. <br /> 10. 1 e n that the Red Cross requires one year waiting period for blood donations after <br /> tattoos. <br /> 11. Tattoo ink's, dyes, and pigments have not been approved by the federal food and drug <br /> administration and that the health consequences of use of these products are unknown. <br /> I acknowledge that infection/allergic reaction is always possible (however rare) as a result of <br /> obtaining a tattoo, particularly in the event that I do not take proper after care of my brow/ liner <br /> tattoo. I agree to accept that such a risk as possible. INITIAL <br /> Signature ate / / <br />