TemplatesLip blush
lip blush consent form
Lip blush is the PMU treatment with the highest rate of clients contacting you in distress during healing, and almost none of it is a clinical problem.
- 14-day trial
- No card needed
- Set up in 10 minutes
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- screening questions
- 9screening questions
- stop the appointment
- 6stop the appointment
- minutes to set up
- 10minutes to set up
- a month to start
- $8a month to start
Permanent makeup consent
Full name
Date of birth
Email
Phone
Are you pregnant or breastfeeding?
YesNo
Isotretinoin
Why this form, specifically
It gets the cold sore protocol started days ahead, and warns her about the day-two swelling before it frightens her into a review.
Look before you download
The whole document, before you give us anything
Permanent makeup consent
Your details
Full name
Date of birth
This is where your aftercare instructions go.
Phone
Health questions
Are you pregnant or breastfeeding?
Have you taken isotretinoin (Accutane) in the last 6 months?
Skin stays fragile for months after the last dose.
Do you take blood thinners, or aspirin daily?
This is the form you get
Not a sample, not a preview of a preview. Every question below is in your account ten minutes after you sign up, with the flags already set and the aftercare email already written.
- 14-day trial
- No card needed
- Set up in 10 minutes
- Cancel anytime
The 9 answers that should stop you
Lip blush is the PMU treatment with the highest rate of clients contacting you in distress during healing, and almost none of it is a clinical problem. The screening is short; the expectation-setting is what the form is really for.
Do not treat
6WhyFragile, thin skin that will not hold pigment and will not heal predictably.
What goes wrong if you treat anywayPoor retention, patchy healing and scarring on the face.
What to doTwelve months is the common professional standard for PMU, longer than for other treatments. Check your insurer's number.
The question that catches itHave you taken isotretinoin (Accutane) in the last 6 months?
WhyUnsettled product distorts the anatomy you are mapping to, and brow position changes as Botox settles.
What goes wrong if you treat anywayBrows mapped to a face that then changes shape. Permanently.
What to doFour weeks after Botox before brow mapping, two weeks after lip filler. Insist on the actual date.
The question that catches itHave you had Botox or fillers in this area in the last 2 weeks?
WhyContinuous bleeding dilutes and rejects pigment as it is implanted.
What goes wrong if you treat anywayPigment that does not take, extensive bruising on the face, and a result that needs redoing.
What to doPostpone and ask them to speak to their prescribing doctor before rebooking. Never advise stopping a medication yourself - that is a doctor's decision, and putting it in writing is a liability.
The question that catches itDo you take blood thinners, or aspirin daily?
WhyPigment safety is unstudied, infection risk is unwelcome, and pregnancy hormones change how pigment heals.
What goes wrong if you treat anywayUnpredictable healed colour, plus a risk with no upside.
What to doDecline. Nearly every PMU policy excludes it.
The question that catches itAre you pregnant or breastfeeding?
WhyCompromised barrier plus repeated trauma, and psoriasis can Koebnerise into the treated line.
What goes wrong if you treat anywayA flare in exactly the place it is most visible, with pigment loss through it.
What to doPostpone until the area is clear and settled for several weeks.
The question that catches itDo you have eczema, psoriasis, rosacea or active breakouts on this area?
WhyImmune suppression and unpredictable skin behaviour during treatment.
What goes wrong if you treat anywayInfection risk during a period of low immunity.
What to doRequires oncology clearance, and is usually deferred until well after the course finishes.
The question that catches itDo you have a condition, or take medication, that affects healing or immunity?
Proceed with caution
3WhyLip tattooing reliably triggers herpes simplex reactivation in anyone who carries it.
What goes wrong if you treat anywayAn outbreak across healing lip pigment, which causes pigment loss and can scar.
What to doAntiviral prophylaxis arranged with their doctor before lip work is standard practice, usually starting a few days beforehand. Ask, and record the answer.
The question that catches itDo you get cold sores?
WhyRepeated dermal trauma, thousands of passes of it, on the face of someone whose skin answers injury with excess collagen rather than with a flat scar.
What goes wrong if you treat anywayA raised, firm ridge following the shape of the work, which is permanent, difficult to remove, and sits in the most visible place it could possibly be.
What to doSmall test patch, review at six weeks, and be willing to decline.
The question that catches itDo you scar badly, or get keloids?
WhyElevated blood glucose slows the wound healing that pigment retention depends on, and raises infection risk on an area that cannot be covered while it heals.
What goes wrong if you treat anywayPoor retention and a longer, riskier heal.
What to doOnly if well controlled, with the client's doctor aware.
The question that catches itDo you have diabetes?
What you actually get
Nobody buys a consent form
They buy the fifteen minutes back at the start of an appointment. They buy the phone call they did not have to make, because the contraindication turned up two days early instead of two minutes late. They buy an insurer who pays out, because the patch test has a timestamp rather than a memory attached to it.
The form is the mechanism. What you are actually buying is the record it leaves behind.
That is the whole argument, and it is why the questions matter more than the software. A blank form builder hands you a canvas and calls it flexibility. This hands you the nine questions that a waxing client should be asked, in the wording that gets an honest answer, with the risky one already flagged in red.
What this saves you
Not what the form contains - what it gives you back. Every number below is arithmetic you can check on the calculator further down the page.
4 seconds
from signature to aftercare email
The aftercare for their treatment lands in their inbox before they have left the chair, written for that service and editable in your words. Clients who follow aftercare heal better, complain less and rebook more - and you did nothing.
Before they sit down
not halfway through
A form that collects answers and does nothing with them has solved the wrong problem. A risky answer turns the submission red and names the reason at the top, at the only moment the information is worth anything.
A defensible claim
instead of a disputed memory
Most professional policies in these trades condition cover on documented screening, and a patch test you can describe is not a patch test you can produce. A timestamped record is the difference between a claim your insurer defends and one they decline.
Automatic
guardian co-sign and ID capture
Under-18 forms require a guardian signature before they can be submitted, and ID photographs attach to the record rather than living in a separate file. The control does not depend on a busy Saturday going well.
Same week. One thing changed.
The left-hand column is most studios today. The right-hand one is the same week with the form sent at booking instead of handed over on arrival.
- Day four, and her brows are at their darkest
- She is convinced something has gone wrong
- You explained the healing process at the appointment
- There is no record that you did, and the review is already up
Nothing here is negligent. It is just undocumented.
- She signed a line about the dark phase before the deposit
- The healing-stage aftercare arrived four seconds after she signed
- Day four brings a message you can answer with her own signature
- Day ten, the brows heal to the colour you planned
Same treatments, same clients, same you. Different record.
Try the flag
Answer these as if you were the client
Answer honestly and nothing happens. Answer yes to the one that matters and watch what lands on your side.
What the client sees
Have you taken isotretinoin (Accutane) in the last 6 months?
Have you had Botox or fillers in this area in the last 2 weeks?
Do you get cold sores?
Do you scar badly, or get keloids?
What you see
Answer honestly and nothing happens. Answer yes to the one that matters and watch what lands on your side.
In your submissions list
Lip blush
What goes wrong without it
The message arrives on day two and it is always frightening.
The client's lips are swollen well beyond what she expected, the colour is startlingly bright, and she is convinced something has gone wrong. Nothing has - this is exactly what day two looks like - but she has already photographed it, sent it to friends and started composing a review. By day ten the result is beautiful. The damage was done in the gap between what healing actually looks like and what she was prepared for, and that gap is closed entirely by four sentences on a form she signed before the appointment.
What a lip blush consent form has to cover
The actual field list, and why each group is on this particular form.
Identity and age
- Full legal name
- Date of birth
- Photo ID
- Contact details
Lip blush is tattooing, and the tattoo code's ID and retention rules apply in most states.
Cold sore protocol
- Cold sore history
- Frequency of outbreaks
- Antiviral prophylaxis arranged with a doctor
- Start date of the antiviral course
- Active lesion today
This group gets its own section because lip tattooing reliably reactivates herpes simplex in anyone who carries it, and prophylaxis has to be arranged days in advance - which means asking at booking rather than at the appointment.
Medical and cosmetic screening
- Lip filler in the last 2 to 4 weeks
- Isotretinoin in the last 12 months
- Blood thinners
- Existing lip tattoo or previous pigment
- Keloid history
- Pregnant or breastfeeding
- Numbing agent allergy
Filler timing matters twice over: unsettled product distorts the lip shape you are mapping to, and mapping to a filled lip that later dissolves leaves pigment in the wrong place permanently.
Expectations and consent
- Colour heals 30 to 50 per cent lighter
- Lips swell significantly for 24 to 48 hours
- Peeling and patchiness at days three to six is normal
- A perfecting session is required
- Natural lip pigmentation affects the result
- Consent initials, photo permission, signature
Lips heal lighter and more dramatically than any other PMU area, and the day-two swelling is genuinely alarming to someone who was not warned. Every line here prevents a specific panicked message.
Is a digital signature legally valid?
Exact time signed
IP address
Device and browser
The exact form they saw
Yes - the US ESIGN Act and the state UETA adoptions give it the same legal effect as ink. What makes it hold up is the evidence stored beside it, and a paper form in a drawer carries none of this.
Sign with your fingerDraw a signature with your mouse or trackpad
Where you stand legally
Lip blush is tattooing and falls under the tattoo code in most US states, with the usual permitting, certification, ID and retention requirements. Two features distinguish it from brow work. First, the cold sore protocol is close to a standard of care: herpes simplex reactivation after lip tattooing is common enough that failing to ask about outbreak history, and failing to advise on prophylaxis for clients with one, reads as an omission rather than a judgement call. Prophylaxis has to be prescribed by the client's own doctor - suggesting or supplying antivirals yourself is outside scope in every state. Second, the interaction with lip filler creates a genuine consent question: pigment mapped to a filled lip is permanent, filler is not, and a client whose filler dissolves may be left with a lip line that no longer matches her anatomy. That specific outcome should be disclosed in writing rather than assumed to be obvious. Not legal advice.
Paper, PDF or digital?
Paper
Fine when you are small
- Signed before they arrive
- Flags contraindications
- Findable by name in seconds
- Proves when it was signed
- Sends aftercare automatically
- Costs nothing
Emailed PDF
Worst of both
- Signed before they arrive
- Flags contraindications
- Findable by name in seconds
- Proves when it was signed
- Sends aftercare automatically
- Costs nothing
Digital
Earns its place at scale
- Signed before they arrive
- Flags contraindications
- Findable by name in seconds
- Proves when it was signed
- Sends aftercare automatically
- Costs nothing
Three clients a week? Print it and staple it in a binder. That is genuinely fine, and software would be an expense with no return. Digital earns its place around ten to fifteen clients a week, when finding one form again matters more than the minutes it took to file it.
Questions people actually ask
For anyone with a cold sore history, yes - arranged with their own doctor, typically starting a few days before. Lip tattooing reliably reactivates herpes simplex, and an outbreak over healing pigment causes pigment loss and can scar. You cannot prescribe it yourself.
Your form is written. Come and get it.
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General guidance for professionals, not legal or medical advice. Check the rules that apply where you work.