Consent Form (Only for Models)

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Consent Form for Icy Lips

Please be advised that I am obligated to perform procedures in strict compliance with all hygiene and health protection measures. This information is confidential and it shall also be handled in that way.

Description of the Procedure:

The ICY lips is a technique performed by using Non-Invasive Cosmetic Needle and E-Dermis Ink Extractor Solution. Non-invasive means that the needles do not penetrate the Dermis like other PMU needles.

Health Declaration
Please understand that this treatment is not for everyone. In order to find out if you are fit for this procedure, please answer the following health questions truthfully. Linda Paradis Group will assume no liability in the event you give false information to obtain the treatment.
In order to ensure the health and safety of our staff and clients, please answer the following questions truthfully and to the best of your knowledge. Your responses will be kept confidential.
I understand that there are certain inherent risks associated with this Detox Lips Snow lips procedure and I assume full responsibility for all personal injury to myself as a result of this procedure, and I further realize that negligence in any case may result in any injury, loss or damage arising out of this procedure, whether caused by fault of myself.
I understand that if I have any unexpected problems with the healing of my skin, I should contact a doctor immediately.
I had an opportunity to ask any and all questions about any of my concerns regarding the procedure and the terms of this consent with attachments. All of my questions and concerns have all been addressed to my satisfaction and I enter into this consent upon my own free will and accord without and any questions or reservations, whatsoever, about the procedure and the terms of the consent and attachments contained herein.