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Consent Form and Release Waiver for Saline Tattoo Removal
Date of Birth
I hereby give my consent to undergo saline tattoo removal treatment at Mayumi Beauty Lab. I understand that this treatment involves injecting a saline solution into the tattooed area, which will lift the ink out of my skin. I acknowledge that the saline tattoo removal treatment may result in some pain or discomfort, including redness, swelling, scabbing, and blistering. I understand that these are normal side effects of the treatment, and that the intensity and duration of these effects may vary depending on the size and location of the tattoo, as well as my individual skin type and health status. I also acknowledge that there are risks associated with saline tattoo removal, including but not limited to infection, scarring, and discoloration. I have been informed of these risks and understand that they may occur as a result of the treatment.
I understand that saline tattoo removal is a gradual process and that I may require multiple treatments to achieve the desired results. I acknowledge that the number of treatments required may depend on the size, age, and color of the tattoo, as well as my individual skin type and health status. I have been provided with information about the expected outcome of the saline tattoo removal treatment, including the likelihood of partial or complete removal of the tattoo, as well as the possibility of residual scarring or discoloration. I acknowledge that I have had the opportunity to ask any questions I may have about the saline tattoo removal treatment, and that I have received satisfactory answers to my questions.
I hereby release Mayumi Beauty Lab and its employees, agents, and contractors from any and all liability arising from or in connection with the saline tattoo removal treatment, including but not limited to any injuries, damages, or losses that may occur as a result of the treatment.
I have read and understood the contents of each paragraph above. I acknowledge this is a contract and that I have received no warranties or guarantees with respect to the benefits to be realized from, or consequences of, the aformentioned procedure/s. I further acknowledge that at the time of signing this consent form, I was of sound mind and capabe of making independent decisions for myself.
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