The Microblading Consent Form Template UK is offered in multiple formats, including PDF, Word, and Google Docs, featuring editable and printable versions to suit your needs.
Microblading Consent Form Template UK Editable – PrintableSample
Microblading Consent Form Template UK 1. Client Information 2. Service Provider Information 3. Treatment Details 4. Medical History 5. Risks and Complications 6. Consent to Treatment 7. Client Responsibilities 8. Provider Responsibilities 9. Payment Terms 10. Cancellation and Refund Policy 11. Acknowledgment of Information 12. Signatures and Agreement 13. Declaration and Signatures
PDF
WORD
Examples
[Name of the Client]
[Client’s ID]
[Client’s Address]
[Client’s Phone]
[Client’s Email]
This consent form is for the microblading procedure conducted by [Name of the Practitioner] on [Date].
Microblading is a semi-permanent tattooing technique that creates the illusion of fuller eyebrows using a manual tool. The procedure involves the application of a pigment in a series of fine strokes to match the natural look of the eyebrows.
The benefits of microblading include improved eyebrow shape, increased fullness, and long-lasting results, which can enhance one’s appearance.
Possible risks and side effects include allergic reactions, infection, fading, and dissatisfaction with the results. It is crucial to follow aftercare instructions to minimize these risks.
1. Avoid wetting the eyebrows for at least 7 days.
2. Apply the provided ointment regularly.
3. Do not scratch or pick at the treated area.
4. Avoid direct sunlight and tanning beds.
I, [Name of the Client], hereby consent to the microblading procedure performed by [Name of the Practitioner]. I acknowledge that I have been informed about the risks and benefits associated with the procedure.
_____________________________
[Signature of the Client]
[Date]
[Name of the Practitioner]
[Practitioner’s ID]
[Practitioner’s Contact Information]
[Name of the Client]
[Client’s ID]
[Client’s Address]
[Client’s Phone]
[Client’s Email]
This consent form is for the microblading service to be performed by [Name of the Practitioner] on [Date].
Microblading involves creating hair-like strokes using a handheld tool and semi-permanent ink. Clients should expect minor discomfort during the procedure.
The risks associated with microblading include but are not limited to: infection, allergic reaction, scarring, and unsatisfactory results. Clients should disclose any allergies or skin conditions.
1. Keep the area clean and dry for at least a week.
2. Avoid makeup on the treated area until fully healed.
3. Refrain from swimming and any activities that may cause sweating for a few days.
By signing below, I confirm that I have read and understood the details of the microblading procedure and consent to its performance.
_____________________________
[Signature of the Client]
[Date]
[Name of the Practitioner]
[Practitioner’s ID]
[Practitioner’s Qualifications]
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