Microblading Consultation & Consent Form

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Name
Medical Disclosure
Please check all that apply:
Previous Brow Tattoo / Microblading
Have you had previous microblading or permanent makeup?

Pre-Care Acknowledgment

By signing below, I confirm that:

  • I have not consumed alcohol, caffeine, aspirin, or blood thinners in the past 24 hours.
  • I understand sunburn, skin irritations, or active acne in the brow area may delay or
    prevent treatment.
  • I will follow all pre- and post-care instructions provided by my technician.

I understand that:

  • Microblading is a semi-permanent tattoo process involving pigment implantation into the skin.
  • Results may vary depending on skin type, age, lifestyle, and aftercare.
  • Minor discomfort, redness, swelling, or scabbing is normal and may last a few days.
  • I may require a touch-up session 6–8 weeks after the initial appointment.
Photo Consent

Release of Liability & Consent

By signing below, I confirm that:

  • I have read and understood all information provided.
  • I am of legal age (18+) and voluntarily consent to this microblading procedure.
  • I release the technician and Luxe Aesthetic Lab from all liability for any harm or injury
    resulting from the procedure, except in the case of gross negligence.
Clear Signature
Clear Signature