Consent & Release Form

Print and bring with you or complete all necessary paperwork at the time of your appointment.

Dermatude Meta Therapy, Brow & Lash Tinting, Eyelash Extensions, Eyelash Perming, Facials, Microdermabrasion, Chemical Peels, Permanent Makeup, Paramedical Tattooing, Tattoo Removal, Waxing and other Facial/Body treatment Consent.

Any treatment we provide may consist of surface cleansing, superficial chemical peels, steam, exfoliation, application of antibacterial serums, corrective serums, extractions, root hair removal, meta therapy, subjectables, micro-pigmentation in which pigment is embedded beneath the skin to add permanent color. Treatments are designed to balance, hydrate, clear acne, imperfections, improve the overall health and enhance the appearance of the skin and prepare the skin for a home care regimen. Although rare, skin care treatments can have certain side effects such as erythema, bleeding, temporary scarring, drying, discomfort, redness, rash, swelling, tenderness, etc. 

 

DERMATECHLLC ESTHETIC SKINCARE & CONSENT RELEASE FORM

By signing below, I certify that I have read and fully understand the contents of this consent form and that the information I provided above are complete, accurate and up-to-date.

 

Your Initials

Make an Appointment