Understanding of Risks and Procedure:
I acknowledge that I have discussed the procedure and its potential risks with the practitioner at [Studio Name]. I understand that the procedure may involve:
- Pain, swelling, and discomfort during and after the procedure.
- Infection, scarring, and allergic reactions.
- Migration or rejection of the jewelry.
- Long-term care and maintenance requirements for the jewelry.
I have been provided with aftercare instructions, and I understand the importance of following them to minimize complications.
Consent and Release:
I voluntarily and willingly consent to the permanent jewelry procedure and assume any risks associated with it. I release [Studio Name], its practitioners, employees, and affiliates from any liability for complications, injuries, or damages resulting from the procedure.
Age Verification:
I confirm that I am at least 18 years of age, or if I am a minor, I have obtained the consent of my parent or legal guardian for this procedure.
Photo Release:
I give permission for photographs or images of the procedure and the jewelry placement to be taken for documentation and educational purposes.
Signature:
I have read and understood this Permanent Jewelry Consent Form, and I sign it of my own free will.