The fees for services has been explained to me and is satisfactory. I understand the total fee for services rendered is due upon completion of the initial procedure and there will be separate fees for any necessary modification of pigment color or shape (outside of initial procedure and on follow up appointments) depending on the procedures. Because Permanent Make up is a service, the practitioner employs a no refund policy. For many skin types, Permanent make up may be a multiple step process. In addition to the initial application I am entitled to a follow up procedure at no additional charge. I must schedule the follow up visit no sooner than four weeks after each procedure but, no later than two months from the date of the original procedure. Subsequent visits will be subject to an additional fee.
  • I have read and understand the contents of each paragraph above. I acknowledge this is a contract and that I have receive no warranties or guarantees with respect to the benefits to be realized from. Or consequences of, the aforementioned procedure(s). I further acknowledge that at the time of signing the consent to this procedure(s). I was of sound mind and capable of making independent decision for myself.
  • If under 18
  • I have personally reviewed the above information with my client or the client’s representative.




2159 Cole Street
Birmingham, MI 48009