This informed consent form is to provide written information regarding the risks, benefits and alternatives of the procedure you are about to undertake.

This material serves as a supplement to the discussion you have with your doctor/healthcare/medical provider. It is important that you fully understand this information, so please read this document thoroughly. If you have any questions regarding the procedure, ask your doctor/ healthcare professional prior to signing the consent form.

I understand permanent makeup is a form of tattoo that requires implantation of pigment into my skin using a needle. I understand there may be risks and hazards related to the performance of this procedure, including but not limited to: allergic reaction to the pigment/other products that will be used, lightheadedness, bleeding, bruising, swelling, scarring, and infection.

PUBLICITY MATERIALS I authorise the taking of clinical photographs and videos. I understand that photographs and video may be taken of me for educational and marketing purposes. I hold the practitioner harmless for any liability resulting from this production. I waive my rights to any royalties, fees and to inspect the finished production as well as advertising materials in conjunction with these photographs.