SPMU Release Form

Please complete this form before attending your SPMU appointment. Without completion of this medical release, we will not be able to complete the procedure. Please answer all questions truthfully.

Medical Questions

This section will cover your medical history. Please make sure to answer these questions truthfully.
Symptoms might include a fever, shortness of breath, loss of taste, continuous cough.

Signing

That I have been fully informed of the risk associated with Semi-Permanent Makeup. I fully understand that these risks, known and unknown, can lead to injury, including but not limited to infection, scarring, difficulties in detecting melanoma and allergic reactions. Having been informed of the potential risks, I still wish to proceed with the SPMU application and I freely accept and expressly assume any and all risks.
TO WAIVE AND RELEASE to the fullest extent permitted by law each of the Artist and the Studio from all liability whatsoever, for any and all claims or causes of action that I, my estate, heirs, executors or assigns may have for personal injury or otherwise, including any direct and/or consequential damages, which result or arise from my tattoo, whether caused by the negligence or fault of either the Artist or the Salon, or otherwise.
The Artist and the Salon have given me instructions on the care of my SPMU while it's healing, and I understand them and will follow them. I acknowledge that it is possible that the tattoo can become infected, particularly if I do not follow the instructions given to me.
I am not under the influence of alcohol or drugs, and I am voluntarily submitting to be tattooed by the Artist without duress or coercion.
I do not have diabetes, epilepsy, hemophilia, a heart condition, nor do I take blood thinning medication. I do not have any other condition that may interfere with the application or healing of the tattoo. I am not the recipient of an organ or bone marrow transplant or, if I am, I have taken the preventive anti-biotics. I am not pregnant or nursing. I do not have a mental impairment that may affect my judgment in getting the tattoo.
Pleased be prepared that color intensity will be significantly darker and sharper immediately after the procedure. This will reduce 30%-50%
SPMU And Microblade is a permanent change to my appearance and can only be removed by laser or surgical means, which can be disfiguring and/or costly and which in all likelihood will not result in the restoration of my skin.
I acknowledge that I have been given adequate opportunity to read and understand this document, that any and all of my questions have been answered, that it was not presented to me at the last minute, and I understand that I am signing a legal contract waiving certain rights to recover against the Artist and the Salon.
I understand that a touch-up is required after the first appointment, to achieve the best results. I will not receive this touch-up until 6 weeks after my appointment.