Form consent

CONSENT FOR EYEBROW DRAWING USING MICROBLADING TECHNIQUE

ARTIST

CUSTOMER

Date of birth*

  1. Clients will be informed in detail about the eyebrow drawing treatment using Microblading technique by an artist.
    Artist is obligated to perform treatment in strict compliance with all hygiene and health protection measures. Eyebrow drawing treatment on a model is free of charge.
  2. HEALTH CONDITION QUESTIONARE
    In order to perform the eyebrow drawing treatment in a safe manner, please answer the following health questions truthfully. Do you suffer from the following diseases or are you taking any of these medications?

    Hemophilia
    Diabetes mellitus (diabetes)
    Hepatitis A, B, C, D, E, F
    HIV +
    Skin diseases
    Eczema
    Allergies
    Autoimmune diseases
    Are you prone to herpes?
    Infectious diseases / high fever
    Epilepsy
    Cardiovascular problems
    Are you taking medication for blood thinning (anticoagulants)?
    Are you pregnant?
    Are you taking any medications on daily basis?
    Do you have a pacemaker?
    Do you have problems with healing of wounds?
    Have you used drugs or alcohol in the last 24 hours?
    Did you in the last 14 days undergo surgery, were you exposed to radiation or had any other medical interventions?

    This information is confidential and it shall be handled in such manner. It will not be shared with third party. By signing this document, you accept to receive information from the Artist by e-mail.

  3. CONTRACTUAL OBLIGATIONS
    I agree on photo taking and using the photos for advertising purposes.
  4. WARRANTY
    Artist accepts liability in compliance with the legal measures and regulations in the case of negligence or carelessness or intentionally or negligently caused injuries or threat to life, body and health. Contracting parties are liable for violations of the obligations specified under the Agreement.
  5. EXPLANATION
    The client is informed in detail by Artist about specific risks of eyebrow drawing treatment using microblading technique. The following risks are specifically explained to the client: During the treatment, despite the staff expertise and all the precautionary measures, the injury is possible. Despite the application of the most advanced and the top quality pigments, allergic reaction is possible but rare. The client is informed about this and he/she assumes liability. During and after the treatment temporary swelling, redness and/or itching may occur. Experience tells us that these symptoms are temporary. Depending on the skin structure after the first treatment small scabs with a loss of drawn hairs may occur and color intensity may change. In the first seven days eyebrows are up to 40% darker and 10-15% thicker. Color i.e. color reflection depends on the natural skin pigment. The shape is determined according to the face proportions. Symmetry is determined digitally, with closed eyes because of the negative impact of facial expression. The pigment is absorbed differently due to differences in the skin quality, thus there is no warranty for the treatment success. Depending on the skin structure, it should be noted that change in the color intensity is possible and that one or more additional treatments will be required. The minimum or maximum duration of eyebrow drawing treatment cannot be determined with certainty, nor can the warranty be given on performed treatment. The first correction is done four weeks after the treatment. For oily skin it is necessary to perform more corrections. Permanent make-up always leads to the skin injury. Therefore, it is important to carefully and gently nurture your skin after the treatment to allow healing without complications. Inadequate care in healing phase of the skin can lead to poor results and Artist cannot be liable for it.
    In the next seven days the client is required to pay attention to the following: Half an hour after the end of the treatment eyebrows should be thoroughly rinsed with lukewarm water, and then a thin layer of Vaseline (petroleum jelly) should be applied. This procedure should be repeated every day, at least 5 times a day to prevent a scab formation. For post-treatment care use only cream provided by Artist or pure Vaseline. Please do not use any other creams except the ones provided to you in order to prevent possible infections or allergic reactions. In the first two weeks after the treatment avoid public bathing, sunbathing, tanning salon, sauna, beauty treatments and intense training accompanied by sweating (sport activities), contact with the dust (household chores, etc.). Artist is not liable in case of improper post-treatment care.
  6. COMPETENCE
    I confirm that I have read and understood the aforementioned information.

    I received a clear and understandable response to all my questions.

    The treatment procedure and post-treatment care was explained to me in detail and I agree with it.

    I do not have any further questions and complaints.
DATE:
Client's signature
DATE:
Artist's signature
The consent is valid without a signature and a stamp.

*If any other legal document is required by the government of the country of the Artist, it should be signed applied.
By using this form, you agree to the storage and management of your data by this website.

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