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CONSENT FOR MICROBLADING (EYEBROW TATTOO)

TATU BROWS is obligated to perform procedures in strict compliance with all hygiene and health protection measures. This information is confidential and it shall also be handled in that way.
TATU BROWS assumes no liability in case of giving false information.

First and last name: * Please enter your name.

Email: * Please enter your email.

Date of birth: *

Please enter valid date.

HEALTH QUESTIONNAIRE

In order to perform the eyebrow tattoo procedure 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 *

YES

NO

Please select at least one choice above.

Diabetes Mellitus (diabetes) *

YES

NO

Please select at least one choice above.

Hepatitis A, B, C, D, E, F *

YES

NO

Please select at least one choice above.

HIV + *

YES

NO

Please select at least one choice above.

Skin diseases *

YES

NO

Please select at least one choice above.

Eczema *

YES

NO

Please select at least one choice above.

Allergies (for what if yes) *

YES

NO

Please select at least one choice above.

Please list allergies * Please enter your answer here.

Autoimmune diseases *

YES

NO

Please select at least one choice above.

Please list autoimmune diseases * Please enter your answer here.

Are you prone to herpes? *

YES

NO

Please select at least one choice above.

Infectious diseases / high fever *

YES

NO

Please select at least one choice above.

Epilepsy *

YES

NO

Please select at least one choice above.

Cardiovascular problems *

YES

NO

Please select at least one choice above.

Are you taking medication for blood thinning? *

YES

NO

Please select at least one choice above.

If yes, please list what medications you are taking for blood thinning * Please enter your answer here.

Are you pregnant or nursing? *

YES

NO

Please select at least one choice above.

Are you taking any medications on daily basis? *

YES

NO

Please select at least one choice above.

Please list any other medications * Please enter your answer here.

Do you have a pacemaker? *

YES

NO

Please select at least one choice above.

Do you have problems with healing of wounds? *

YES

NO

Please select at least one choice above.

Have you consumed drugs or alcohol in the last 24 hours? *

YES

NO

Please select at least one choice above.

Did you undergo any surgery in the last 14 days? *

YES

NO

Please select at least one choice above.

Were you exposed to radiation or had any other medical interventions? *

YES

NO

Please select at least one choice above.

I agree on photo taking and them being used for advertising purposes. *

YES

NO

Please select at least one choice above.

CONTRACTUAL OBLIGATIONS

By checking these boxes, you are giving your consent:

The following risks are specifically explained to the client:

During the procedure despite the expertise of the artist and all the precautionary measures, injury is possible. * Please check it here.

Despite the application of the most advanced and the top quality pigments, allergic reaction is possible but rare. * Please check it here.

The client is informed about this and he/she assumes liability. * Please check it here.

During and after the procedure temporary swelling, redness and/or itching may occur. * Please check it here.

Depending on the skin structure after the first treatment small scabs with a loss of drawn hairs may occur and color intensity may change. * Please check it here.

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. * Please check it here.

The pigment is absorbed differently due to differences in the skin quality, thus there is no warranty for the treatment success. * Please check it here.

The shape is determined according to the face proportions. * Please check it here.

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. * Please check it here.

The minimum or maximum duration of microblading or permanent makeup procedures cannot be determined with certainty, nor can the warranty be given on performed treatment. * Please check it here.

Any touch ups fees may apply for future appointments if touch ups are desired. If most of the color has faded then this will not be considered a touch up and all fees for a new service may apply. Touch ups are usually performed after 6-8 weeks. For oily skin, it may be necessary to perform more corrections. * Please check it here.

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 TATU BROWS and the technicians cannot be liable for it. * Please check it here.

Permanent Makeup is an art and not science. Client’s result will vary and using a makeup pencil or brow powder may still be needed. * Please check it here.

In the next 10 days the client is required to pay attention to the following:

Keep your eyebrows dry and clean for the next 10 days.

Do not contact with water. The thick crust will appear in case you will and all the pigment will fade.

Do not touch the scab in any other case except while cleaning.

For post-treatment care use only recommended liquids to clean the brows (Sterile Water the first day only)

If skin is oily or sweaty make sure you clean the skin when necessary.

Please do not use any other creams except the ones provided our recommended to you in order to prevent possible infections or allergic reactions.

In the first two weeks after the treatment avoid swimming pools, sun bathing, tanning beds (no sun or tanning for 30 days), sauna, beauty treatments and intense training accompanied by sweating (sport activities), contact with dirt and dust.

Tatu Brows or technicians are not liable in case of improper post-treatment care.

Absolutely NO refunds after any services will be given.

By checking this box, I agree to all above terms and have been given clear instructions on how to go about my healing process. * Please check it here.

I ACKNOWLEDGE THAT NO GUARANTEES HAVE BEEN MADE TO ME CONCERNING THE RESULTS OF THIS PROCEDURE.

I confirm that I have read and understood the above mentioned 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.

After Care instructions were given me (can be found on website).

By checking this box, I agree to all above terms. * Please check it here.

Your signature *

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