The nature and method of the proposed cosmetic tattoo procedure has been explained to me by my artist, including the usual risks inherent in the procedure process, and the possibility of complications during and following the procedure. I understand there may be a certain amount of discomfort or pain associated with the procedure and that other adverse side effects may include minor and temporary bleeding, bruising, swelling, and/or redness or other discolorations. Fading or loss of pigment may occur. Unevenness in design may occur due to swelling. Secondary infection in the area of the procedure may occur, however, if all aftercare instructions (that are provided) are followed, is rare.
I understand that it’s my responsibility to inform my artist of any and all health problems.
I acknowledge that complications including infections are always possible as a result of a cosmetic tattoo Procedure, particularly in the event that my post-procedural instructions are not followed..
I acknowledge that it is not reasonably possible to determine whether I might have an allergic reaction To any of the pigments, dyes, topical preparations, or processes used in the procedure; and I agree to Accept the risks that such a reaction, although rare, is possible. I have informed My Artist of any Existing problems.
I understand that immediately after the procedure is completed, the color will appear dark and the Design will appear to be thicker. It will be explained to me by My Artist that within a short period of time (usually 5-7 days) during the healing process, the color will lighten/soften and the design/procedure Will heal thinner than it looked the day it was performed.
I acknowledge that hyper-pigmentation (darkening of the skin) or hypo-pigmentation (absence of color in the skin), or scarring is a possibility as a result of my body’s reaction to the skin being broken during the Procedure. I realize that my body is unique and that My Artist cannot predict how my body will react as a result of this procedure.
I acknowledge that the procedure will result in a permanent change to my appearance and that no representations have been made to me as to the ability to later change or remove the results. Tattoo removal is a surgical procedure which may cause scarring and/or disfigurement.
I understand that future laser treatments, plastic surgery, implants, injections, and other skin altering procedures may alter and degrade my cosmetic tattoo procedure. I further understand that such changes are NOT the responsibility of My Artist and such changes in my appearance may NOT be correctable through further cosmetic tattoo procedures.
I understand that tattoos may cause MRI (Magnetic Response Imaging) artifacts and there is a 1% to 2% chance of a reaction. Within that 1 to 2%, for some, there may be a warming and/or tingling sensation in the tattooed area from the MRI due to the iron oxide properties of some pigments. It is understood that I should advise my physician that I do have permanent cosmetics (a tattoo) in the event An MRI procedure is prescribed.
I authorize My Artist to obtain pre-procedural and post-procedural pictures and give My Artist permission to use such pictures for publication as he/she chooses.
I acknowledge I will receive the receipt of written instructions advising me of the proper care of my procedure and I understand the absolute necessity for following these instructions.
I understand that cosmetic tattooing is an art form and NOT an exact science and I acknowledge that NO Guarantees have been made to me as to the result of this procedure. Some skin types will not accept or Heal pigment in a consistent manner. My skin and how well i take care of my procedure will Determine my result. I realize that my body and my skin is unique and that My Artist cannot in any way Predict how my skin may react to the procedure or how it may or may not accept color. I also realize That My Artist cannot predict how many, if any, touch-up visits it will take to complete my procedure.
The fee for the cosmetic tattoo procedure has been explained to me, including the initial procedure fee And touch-up fee. These fees are understood and agreed upon. I understand the total fee for services rendered is due upon completion of the initial procedure and that there WILL BE separate fees for any Touch-up/follow-up work.
I accept full responsibility for determining the color, shape and position of the pigments that will be applied. I understand the actual healed color of the pigment applied will be modified slightly due to my own unique skin undertones.
My Artist has the right to refuse service to anyone at any time for any reason.
This contract is to remain in effect for as long as I remain a client of My Artist and all its contents apply whenever work is being performed on myself by My Artist. It is my responsibility to inform My Artist if any changes have occurred in my medical history.
I have read and understand the contents of each paragraph above. I have received no unrealistic warranties or guarantees from My Artist regarding the outcome of my procedure.
