CONSENT FOR EYEBROW DRAWING USING PHIBROWS MICROBLADING TECHNIQUE

 This contract contains the conditions under which the eyebrow microblading procedure is performed. This means that both the service provider that performs the microblading procedure and the client have to understand and mutually agree with the terms of this contract.

 

The Service Provider

Miss Julia Wilson

50 Harrington Road, London, SW7 3ND

 

The Client

 Julia Wilson is obligated to perform treatment in strict compliance with all hygiene and health protection measures.

 1. Health Condition Questionnaire 

 In order to perform the eyebrow drawing treatment in a safe manner, please answer the following health questions truthfully. This information is confidential and it shall also be handled in that way.

Julia Wilson assumes no liability in case of giving false information.

 Do you suffer from the following diseases or are you taking any of these medications?

Hemophilia
Diabetes mellitus (diabetes)
Skin diseases
Eczema
Hepatitis A, B, C, D, E, F
Allergies
HIV +
Autoimmune diseases
Infectious diseases / High fever
Epilepsy
Are you prone to herpes
Cardiovascular problems
Are you taking medication for blood thinning (anticoagulants)?
Are you pregnant?
Are you taking any medications on daily basis?
Do you have a pacemaker?
Are you prone to Keloid scar?
Have you consumed drugs or alcohol in the last 24 hours?
Did you in the last 14 days undergo surgery?
Were you exposed to radiation or had any other medical interventions?
Are you experiencing any of these symptoms: fever, cough, sore throat, shortness of breath, headache?
Have you been tested positive to COVID-19?
Have you had any contact with anyone that has suspected COVID-19 in the last 14 days?
Are you using Retinol/Vitamin A or Raccutane based products?
What is your skin type?
2. CONTRACTUAL OBLIGATIONS CONFIDENTIALITY AND NDA

Both parties hereby agree to keep the information that becomes apparent during the procedure, the price of the treatment, details regarding providing the treatment and the process leading to this confidential from third parties. Both parties take full legal responsibility from any and all damage that is caused to the other party by breaking this agreement of confidentiality. This clause does not concern the before and after pictures that are taken by the service provider. In case one of the parties breaks the confidentiality and it is proven by the other party or by a third party in a reproducible format (screenshot, message or similar), the party that has broken the confidentiality has to pay the other party a compensation in the amount of 20 times the price of treatment.

3. BEFORE AND AFTER PHOTOS

By signing the contract the client also gives permission to the service provider to take before and after pictures of her facial skin and/or eyebrows. The photos taken and produced this way belong to the service provider and she is well entitled to use those for her marketing activities (marketing herself or in the context of marketing eyebrow microblading procedure) without any sort of need to ask for additional permissions from the client. That sort of permission given by the client also applies to publish this material on the social media or on the internet. 

4. WARRANTY

Julia Wilson accepts liability in compliance with the legal measures and regulations in the case of negligence or carelessness or intentionally or negligently caused injuries. Julia Wilson is liable for violations of the obligations specified under the Agreement.

5. EXPLANATION

The client is informed in detail by Julia Wilson about specific risks of eyebrow drawing treatment using Phibrows Microblading Technique.

The following risks are specifically explained to the client:

During the treatment, despite the staff expertise and all the precautionary measures, the injury is possible. Despite the application of the most advanced and the top quality pigments, an allergic reaction is possible but rare. The client is informed about this and he/she assumes liability. 

During and after the treatment temporary swelling, redness and/or itching may occur. Experience tells us that these symptoms are temporary. Depending on the skin structure after the first treatment small scabs with a loss of drawn hairs may occur and color intensity may change. In the first seven days eyebrows are up to 40% darker and 10-15% thicker. Color i.e. color reflection depends on the natural skin pigment. The shape is determined according to the face proportions. Symmetry is determined digitally, with closed eyes because of the negative impact of facial expression.

The pigment is absorbed differently due to differences in the skin quality, thus there is no warranty for the treatment success. Depending on the skin structure it should be noted that change in the color intensity is possible and that one or more additional treatments will be required.

The minimum or maximum duration of eyebrow drawing treatment cannot be determined with certainty, nor can the warranty be given on performed treatment. The first correction is done 6 weeks after the treatment.

For oily skin it is necessary to perform more corrections.

Permanent make-up always leads to the skin injury. Therefore, it is important to carefully and gently nurture your skin after the treatment to allow healing without complications.

Inadequate care in the healing phase of the skin can lead to poor results and Julia Wilson cannot be liable for this.

AFTERCARE

In the first seven days after the procedure the client is required to pay attention to the following:

Half an hour after the end of the treatment eyebrows should be thoroughly rinsed with lukewarm soapy water, then apply a thin layer of Skin Candy jell. Repeat this procedure every hour to prevent scab formation. Before going to sleep, the PhiPatch shall be applied over eyebrows. In the Morning remove it and rinse the same way, and apply Skin candy jell.

For the next 2 days gently dab the brows every 2-3 hours with the damp cotton pad and apply a thin layer of Skin Candy jell. For the Oily skin use the jel only 0-1 times per day, your skin doesn't need extra moisture, if your brows start to look too wet, blot them more often.

Day 4-7 repeat the same action only 1 time in the morning and 1 time in the evening and apply Skin Candy jell when feeling dry.

Avoid getting your brows wet and picking until the scabs fall off naturally. After the scabs fall off use SPF50 to protect the fresh skin and your pigment from fading.

For post-treatment care use only provided kit and Skin Candy jell. Please do NOT use any other creams except the ones provided to you in order to prevent possible infections or allergic reactions.

If you are using makeup daily, avoid applying it on the brows, stay at least 2cm away from them.

In the first two weeks after the treatment avoid public bathing, sunbathing, tanning salon, sauna, beauty treatments and intense training accompanied by sweating (sport activities ), contact with the dust (household chores, etc.).

Hormonal and Antibiotic Therapy could lead to faster pigment fading.

6. COMPETENCE
I confirm that I have read and understood the aforementioned information.
I received a clear and understandable response to all my questions.
The treatment procedure and post-treatment care was explained to me in detail and I agree with it.
The treatment will not start until the client agrees with proposed shape and style of the eyebrows. Please select if you agreed with design?
Do you have any further questions or complaints?
Signature

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