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Free TemplateBeauty & Aesthetics

Microblading Consent Form

Informed consent form for microblading and eyebrow tattooing. Covers procedure risks, healing process, and touch-up expectations.

Last updated: April 2026

Researched by the CheckinPulse Research Team

Use This Form Digitally

Paper forms work, but digital forms work better. Here is what you get when you use this template on CheckinPulse:

  • Clients fill out on their phone (no app needed)

    Scan a QR code or tap a link — works on any device

  • E-signatures with legal timestamp

    IP address, timestamp, and audit trail on every signature — valid in all 50 states under the E-SIGN Act

  • Submissions go straight to your dashboard

    No more clipboards, filing cabinets, or illegible handwriting

  • PDF waivers stored for 7 years

    Encrypted, searchable, and accessible anytime on paid plans

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Form Preview

This is what your clients will fill out. 17 fields, mobile-friendly.

Microblading Consent Form

All fields marked with * are required

Jane Doe
jane@email.com
(555) 123-4567
Date
Text
Phone
Microblading
Yes
Yes
Diabetes, hemophilia, autoimmune disorders, keloid scarring...
Yes
I understand the healing process takes 4-6 weeks*
I understand a touch-up session may be needed*
I understand results will fade 30-50% during healing*
I consent to before/after photos for my records
Sign here
Submit Form

Consent / Waiver Language

This waiver text is included at the bottom of the form, above the signature field.

I consent to the microblading/permanent makeup procedure described above. I understand that: (1) The procedure involves depositing pigment into the skin using a manual blade or machine; (2) Results appear darker immediately and fade 30-50% during the 4-6 week healing period; (3) A touch-up session is typically needed 6-8 weeks after the initial procedure; (4) Risks include infection, allergic reaction, scarring, asymmetry, and pigment migration; (5) Final color and shape may differ from initial expectations; (6) This procedure is contraindicated during pregnancy, nursing, and for individuals with certain medical conditions. I have disclosed all medical conditions, medications, and allergies.

Legal References

E-SIGN Act (15 U.S.C. ch. 96) — Congress.gov

The federal law that makes electronic signatures on consent forms and waivers legally equivalent to handwritten signatures in all 50 US states.

Frequently Asked Questions

Microblading is a semi-permanent tattoo — you're depositing pigment into someone's face. The stakes are high. Clients need to understand the healing process (color fades 30-50%), the need for touch-ups, and risks like scarring or pigment migration. Without clear consent, you're one unhappy client away from a lawsuit.

Pregnancy, nursing, hemophilia, uncontrolled diabetes, autoimmune disorders, active skin conditions near the brow area, and anyone on blood thinners or Accutane. These increase bleeding, affect healing, or raise infection risk. Your form should screen for all of them.

Make it optional, not required. Portfolio photos help grow your business, but forcing consent can make clients uncomfortable. Keep it as a separate checkbox so they can opt out without feeling pressured.

Popular with salon and beauty business owners — see how CheckinPulse serves your industry.

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