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  4. Microblading & PMU Patch Test Consent Form

Microblading & PMU Patch Test Consent Form

A PMU patch test template — records the test of pigment and anaesthetic and the client’s skin response before treatment.

Description

Permanent makeup uses pigments and often a topical anaesthetic, and a patch test checks a client won’t react to either before you treat. This form logs it properly: when the test was done, what was tested, and whether any reaction appeared within 24 to 48 hours. It turns a sensible precaution into a documented part of the client’s record. Two consent lines round it off. One records that the client is happy to proceed if their skin was fine, and the other sets a realistic expectation that’s easy to overlook — that PMU colour heals softer than it first looks, fades over time, and that a top-up is part of the process, not a sign something went wrong. Getting that understood before treatment prevents a lot of worried messages during healing. Use it for every new client before their appointment. It’s free, brand-styled, and gives you a clear, dated record that you tested for reactions before implanting pigment.

Form fields

Everything the Microblading & PMU Patch Test Consent Form above collects — 9 fields, so you can see exactly what it captures before you make it your own.

Microblading & PMU Patch Test

  • Your name

    Name Icon
    Name
  • Email address

    Email Icon
    Email
  • Phone number

    Telephone Icon
    Telephone
  • Date of patch test

    Date Icon
    Date
  • What was tested (pigment / anaesthetic)

    Short Answer Icon
    Short Answer
  • Did you notice any reaction within 24–48 hours?

    Yes/No Icon
    Yes/No
  • If yes, please describe the reaction

    Long Answer Icon
    Long Answer
  • Proceeding

    Consent Icon
    Consent
  • Healing

    Consent Icon
    Consent
Use Template Arrow Right Icon

Template FAQs

Common questions about the Microblading & PMU Patch Test Consent Form — what it captures, when to use it, and how to make it your own.

Why is a patch test needed before PMU?

Because permanent makeup uses pigments and often a topical anaesthetic, and some people react to one or the other. A patch test before treatment catches a sensitivity before pigment is implanted.

What's tested?

The pigment and the anaesthetic to be used, applied to a small area. The form records what was tested and whether any reaction appeared within 24–48 hours.

Why mention healing and fading in the consent?

Because PMU colour heals softer than it looks at first, fades over time, and needs a top-up — which clients often don’t expect. Setting that expectation early prevents worry during healing.

What if the client reacts to the patch test?

There’s a box to describe the reaction, and the consent to proceed only applies if none occurred. A reaction means finding an alternative pigment or anaesthetic, or advising against treatment.

Does it replace the full treatment consent?

No — it’s the patch-test record. A full treatment consent form is completed before the appointment itself.

Is the template free?

Yes. It’s free with a Fun Forms account, fully brandable, and ready to complete on a tablet or via a link.