Microblading/Shading Consultation

Digital Consent Form

Consent Form consent to the below: am over the age of 18 and • The general nature of the microblading/shading procedure has been explained to me and I understand the possible consequences. • I understand microblading/shading is semi-permanent and more than one procedure is required to achieve the desired results. • I am aware that the pigment will fade and the full colour retention will vary based on my aftercare and my skin's ability to retain pigment. • I accept responsibility for approving the final shape and position of my eyebrows. • • I fully understand that microblading/shading is an art and not a science, and I should not receive the treatment if I have unrealistic expectations. I realize that this is an elective cosmetic procedure and is not medically necessary. The aftercare instructions have been explained to me and I am aware that failure to follow these guidelines will compromise the standard of the final result. I have been given the opportunity to ask any questions about the procedure and the risks involved. • I have disclosed all relevant medical conditions to my technician. It has been explained to me that the following may occur: minor bleeding. bruising, redness, swelling and fading or loss of pigment. • I am aware that if I receive botox or cosmetic surgery after my microblading/shading procedure, it can affect the position of my brows. • I am aware that if I receive an MRI after the procedure, I must inform the radiologist that I have iron oxide cosmetics. • I understand that laser and IPL treatments can affect the colour of my pigment and I must therefore inform my technician that I have iron oxide cosmetics before receiving any laser treatments. • If an infection occurs after my microblading/shading procedure I must seek medical advice immediately. If I have had permanent cosmetic procedures performed previously on my brow area, I cannot hold my current technician responsible for the final colour result.

Microblading/Shading Consultation

Personal Information

General

Confidential Medical Profile

Female Clients only

Initial Procedure Details

For Office Use Only

Touch Up Procedure Details

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