CLIENT DISCLOSURE FORM

Edmonton Alberta

CLIENT DISCLOSURE FORM

Edmonton

CLIENT DISCLOSURE FORM

To apply permanent cosmetics in a safe manner, please tell your technician if you have any of the following issues. Light Touch Permanent Makeup Studio will keep all information disclosed in a confidential manner and will use it only for purposes determining whether it is safe to proceed with this procedure. I will tell my technician if I have been diagnosed with any of the following diseases, condotoins or use any of the following medications:
  • Hemophilia
  • Diabetes
  • Hepatitis A,B,C,D,E,F
  • Skin diseases
  • Eczema
  • Allergies
  • Autoimmune diseases
  • Herpes zoster
  • Current infectious disease/fever
  • Epilepsy
  • Cardiovascular problems
  • Are you taking blood thinning medications or fish oil?
  • Are you pregnant?
  • Do you have a pacemaker?
  • Do you have a problem with healing wounds?
  • Have you consumed drugs or alcohol in the last 24 hours?
  • Did you in the last 14 days undergo surgery in which you were exposed to radiation or any other medical interventions, such as chemotherapy?
  • Cosmetic fillers
  • Allergy to Lidocaine or any other anesthetic

Preparation for Permanent make up procedure :
  1. please make sure you are not taking alcohol the night before and coffee three hours prior your appointment.
  2. if you have done permanent makeup before and would like to refresh it, please forward us a good quality picture taken on a day light for our review.
  3. if you do permanent eyeliner please make sure you take off contact lenses.
  4. if you are doing Lip Blush and ever experienced cold sores bebore, please make sure you have taken L-Lysine (no prescription needed) at least 7 days prior your appointment.
  5. if you were on any antibiotics tretment we should wait for 30 days after the treatment was finished. Otherwise, we do not guarantee a perfect result.
  6. in the order to get the best possible result we kindly asking do not bring relatives and kids for your appointment. If you still willing to bring a company with you we would have to ask them to wait in a waiting area. During a pandemic we kindly ask do not bring anyone with you.

Please note that pregnancy is a strict restriction for any type of permanent procedures.
For breastfeeding women procedures can be fulfilled, but application of anesthesia is not recommended.