• Permanent Makeup Client Information Form

  •  - -
    Pick a Date
  • Please answer the following question with full honesty and accuracy.

  • Consent

  • Please read all the sentences and sign the agreement.

    • I authorized ABC Care to perform a cosmetic enhancement upon me on this day.

    • I was informed that permanent and semi-permanent cosmetic enhancement is the same as the process of tattoo and it is an advanced version of it.

    • I completely understand that in some rare cases, allergic reactions may occur even after my disclosure of all known allergy history I may have due to the pigment. I accept all the responsibility, and I fully understand the health risk of it.

    • I accept that the pigment might fade before or after 3 years, and may leave a mark or residue of color.
    • I understand the possible side effects of the procedure and will be able to diagnose if it is normal or not.

    • I confirm that I do not have any physical, medical, and mental conditions that might get conflict with the procedure.

    • I confirm that I will strictly follow the pre and post-procedure instructions given to me.

    • I confirm that all information I entered in this form is accurate and true to the best of my knowledge.

    • I hereby certify and give this clinic my full consent to perform the necessary procedure. By signing below, I confirm that I have read and understood the statements above.

  • Clear
  •  - -
    Pick a Date
  • Should be Empty: