Forms & Aftercare - Blissfull Beauty Ink

First Name

Last Name

Phone

I, as a client, have requested that you describe the procedure to be utilized so that I may make an informed decision whether or not to undergo the procedure.

To accept this contract, type your name below

You have been described the recommended procedure to be Micropigmentation, the process of implanting pigment into the dermal layer of skin. Micropigmentation is a form of tattooing used for the purpose of permanent cosmetic makeup and skin imperfection camouflage.

I voluntarily request my cosmetic tattoo artist Michelle Winters to perform the following:

PLEASE READ AND CHECK ONE:

I authorize Michelle Winters to take photographs of the work performed both before and after treatment, and further authorize the use of said photographs for her website, social media and/or to show future patients. (She is able to conceal your identity if required)
I authorize Michelle Winters to take photographs of the work performed both before and after treatment, to be maintained only in my life.

Signature

To accept this contract, type your name below

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Blissful Beauty Ink. Consent Form for Tattoo and Dermal Procedures

Thank you for contacting us!

Thank you for contacting us!

NAVIGATE

STAY CONNECTED

FIND US