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IMPORTANT: PLEASE PRINT,  FILL OUT AND BRING WITH YOU TO YOUR APPOINTMENT. 

PERMANENT MAKEUP 
CONSENT FORM

Prior to performing permanent makeup, we must know if you are a good candidate or not. Your health is very important to us, and we would never put you in harms way. Because this is a permanent cosmetics procedure, we go into the dermal top layer of the skin and anything can go wrong if not screened properly. Please be honest and if any contraindications apply to you, contact us immediately so we can assess the situation more closely. Thank you. 

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