Please read and check the box if all following statements are true:
I am currently not under the influence of any drugs or alcohol.
I am NOT pregnant
I do not currently take nor have taken accutane within the last 12 MONTHS.
I have not had Botox and or other cosmetic filler procedures within the past two weeks.
I have not taken any blood thinning medication within the past 72 hours nor have I taken Aspirin within theist 24 hours.
Aftercare instructions have been explained to me and are attached to this consent form. If I have questions I will be contact my Artist.
I will contact my physician if I notice any infection beginning to form.
I understand a certain amount of discomfort is associated with this procedure and that swelling redness and bruising may occur.
I understand that Retin A Renova Alpha Hydroxy and Glycolic Acids must not be used on the treated areas.They will alter the color.
I understand that the sun, tanning beds, pools, some skin care products and medications may affect my permanent makeup.
I accept the responsibility for explaining to my artist my desire for specific colors, shape, and position for any procedure done today.
I underestand that implanted pigment may change or fade over time due to circumstances beyond the artist control and I will need to maintain the color with future applications and a touch up session in 4-6 weeks.
I acknowledge that the microblading micro shading procedure involves inherent risks and that there is a possibility of one or more complications during and or following the procedure such a : infection, misplaced pigment, Poor color retention and hyper-pigmentation.
I acknowledge that I’m at least 18 years of age and I certify that I have red or had had read to me the contents of this form.
I understand the risks and alternatives involved in this procedure. I have had the opportunity to ask questions and all of my questions have been answered. I acknowledge that I have reviewed and approved the materials given to me and I authorize Enzo Parsa, owner of Glamorous Med Spa and its affiliates from any liability arising from the risks that are known and/or inherent in the procedure.