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Consent to Application of Permanent Makeup Procedure Mobile App

This app is for Terms and Conditions for Permanent Makeup Procedures. It provides the client with information about Permanent Makeup side effects and risks. It allows the client to sign and consent. This form includes an invoice section providing the number of visits and cost of the total procedure.

  • Lendlease
  • The Cooperative
  • PG&E
  • oxy
  • Red Bull
  • Mirvac

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Take a peek inside the Consent to Application of Permanent Makeup Procedure Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    Name

  • Ico date

    Date

  • Ico date

    Date of Birth

  • Ico textbox

    Address

  • Ico textbox

    City

  • Ico dropdown

    State

  • Ico textbox

    Zip Code

  • Ico textbox

    Home Phone

  • Ico textbox

    Work Phone

  • Ico statictext

    I am over the age of 18, am not under the influence of drugs and desire to receive the indicated ...

  • Ico statictext

  • Ico signature

    Signature

  • Ico date

    Date

  • Ico textbox

    Procedure

  • Ico integer

    Number of visits required

  • Ico decimal

    Cost per procedure

  • Ico calculator

    Total procedure cost

  • Ico summary

    Cost of Procedure(s)

  • Ico decimal

    Tax Rate

  • Ico calculator

    Total

  • Ico statictext

    I have been informed of the nature, risks, and possible complications and consequences of permane...

  • Ico statictext

  • Ico signature

    Signature

  • Ico date

    Date

  • Ico statictext

    I understand that if I have any skin treatments, laser hair removal, plastic surgery or other ski...

  • Ico statictext

  • Ico signature

    Signature

  • Ico date

    Date

  • ...and More!

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