Electronic Consent eForm

Consent and Release Agreement for Permanent Cosmetics

This form is designed to give information needed to make an informed choice of whether or not to undergo a permanent cosmetics application. If you have questions, please don’t hesitate to ask.

Although permanent cosmetic tattooing is affective in most cases, no guarantee can be made that a specific client will benefit from the procedure.

This is the process of inserting pigment into the dermal layer of the skin and is a form of tattooing.

All instruments that enter the skin or encounter body fluids are sealed and sterilized before use and disposed of after use. Cross contamination guidelines are stickily adhered to.

Generally, the results are excellent. However, a perfect result is not a realistic expectation. It is usual. To expect a touch-up after the healing is completed.

Initially, the color will appear much more vibrant or darker compared to the end result. Usually, within 7-10 days the color will fade 10-50%, soften and look more natural. The pigment is permanent but will fade somewhat over time and will likely need to be touched-up through the years. The second touch up is $50-$80 and 45-60 days.

Photography Release Consent

Elisheba requests “Before” and “After” photos to be taken and kept on file. We would like your permission to use these photos for advertising. For example, in portfolio, online and in print adds, etc. You consent is necessary regarding this. Please check and indicate with your signature if you would like your photos used or not in advertising.