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Free PMU Consent Form, Health Form and Aftercare Sheet

Type your studio's name, pick brows or lip blush, and print a consent and release form, a health and history form, and an aftercare sheet, or copy them into your own documents. They're templates to start from, not legal advice, so have them reviewed for your state.

Form
Service

A template to start from, not legal advice. Laws and health department rules differ by state and county, so have it reviewed for your studio and change anything that doesn't match how you work.

Your Studio Name: Consent and Release

Brows (microblading, powder or combo)

Please read and initial each statement

Ask us about anything you don't understand before we begin. We're happy to go over any of it.

  1. InitialsI understand permanent makeup is a cosmetic tattoo. Pigment is placed in the skin and fades over time, so it isn't fully permanent, and it can't always be fully removed.
  2. InitialsI understand results depend on my skin, age, health, sun exposure, skincare and how well I follow aftercare. Oily, mature or sensitive skin can heal softer, blurrier or patchier. No exact result is guaranteed.
  3. InitialsI understand my brows will look darker and stronger right after the procedure, and that healed color is usually softer and can change or fade over time.
  4. InitialsI understand a touch-up is usually needed to finish the work, and I have been told when it should happen and what it costs.
  5. InitialsI understand the possible risks, including redness, swelling, tenderness, itching, infection, an allergic reaction to pigment or numbing products, scarring or keloids, pigment spreading, and uneven healing.
  6. InitialsI agree to the use of a topical numbing product, and I understand any product, numbing or pigment, can cause a reaction.
  7. InitialsI understand faces are naturally uneven, so my two brows may not be exact mirror images.
  8. InitialsI have answered the health and history form truthfully and told my artist about my medications, allergies and health conditions. I will tell my artist if anything changes before my appointment.
  9. InitialsI am not pregnant or breastfeeding.
  10. InitialsI approved the shape and color of my brows before the procedure started.
  11. InitialsI will tell my doctor and any MRI technician that I have a cosmetic tattoo.
  12. InitialsI received aftercare instructions in writing and my artist went over them with me. I will follow them, and I understand that not following them can affect my results.
  13. InitialsI know the signs of infection include fever, spreading redness, swelling, heat or pus, and I will see a doctor if any of them happen.
  14. InitialsI understand my artist may decline or reschedule the procedure if it isn't safe or right for me that day.
  15. InitialsI have read the studio's booking, deposit and refund policy.
  16. InitialsI am 18 or older.

Photos

Your Studio Name may take photos of my brows before, during and after the procedure for my records. Circle one: I agree / I don't agree to the studio sharing these photos, which may show my face, on its website and social media without my name.

Consent

I have read and understand this form, my questions were answered, and I consent to the procedure. I understand and accept the risks described above.

Client name (print)
Client signature
Date
Artist name
Artist signature
Date
Pigment brand and color
Pigment lot number

What's in each form

  • Consent and release: statements she initials one by one, covering what permanent makeup is, how it heals, the touch-up, the risks, her health history and your policies, then a photo release and signatures.
  • Health and history: her contact details, yes or no health questions with room for details, her medications, what look she wants, and how she heard about you.
  • Aftercare sheet:what she'll see day by day, what to hold off on and until when, daily care, the signs that need a doctor, and when to book the touch-up.

Why the health questions are there

Some conditions and products change how skin takes and holds pigment, or how it heals. Blood thinners and some supplements make the skin bleed more, which pushes pigment out. Accutane, retinol and acids thin and sensitize the skin. Keloids, autoimmune conditions and diabetes affect healing. Lip blush can bring on a cold sore in someone who gets them, and filler and Botox can change the shape you map.

The answers tell you what to talk through at the consult. Whether to go ahead is a decision you make with her, and with her doctor where needed. Ask the cold sore question when she books lip blush, not at the appointment, so she has time to talk to her doctor first.

Before you use them

Permanent makeup is regulated by states and often by counties, and the rules differ: some require specific wording, an age check, or that you keep records for a set number of years. Read these through, change anything that doesn't match how you work, and have them reviewed for your studio.

Keep each signed copy with her record for as long as your state or county requires, and give her a copy of the aftercare sheet to take home.

Questions artists ask

Made by Permanent Profits

We run Facebook and Instagram ads for brow and lip blush artists, and our app texts every new lead within about a minute, day or night, and books the consultation onto your calendar. These tools are free, with no sign-up.

See how it works