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Permanent Makeup Treatment Consent Form

A PMU treatment consent template — records that the client understands the process, the fading, the top-up and the risks, with a signature.

Description

Informed consent is central to safe permanent makeup, and this form captures it in plain language. It records the client’s details and date of birth, the treatment they’re having, and space to note any conditions, medications or recent treatments, before walking them through what they’re agreeing to. The confirmations are honest and clear. The client confirms they understand PMU is semi-permanent and fades and needs refreshing, that results vary with skin and lifestyle and a top-up is part of the process, that swelling, scabbing and colour change during healing are normal while infection and reaction are rarer risks, and that they’ll follow the pre-care and aftercare. A disclosure line and a signature complete the dated record your insurer expects. Have every client sign it before treatment. It’s free, brand-styled, and makes the most important conversation in PMU a documented, reassuring step.

Form fields

Everything the Permanent Makeup Treatment Consent Form above collects — 11 fields, so you can see exactly what it captures before you make it your own.

Permanent Makeup Treatment Consent

  • Your name

    Name Icon
    Name
  • Email address

    Email Icon
    Email
  • Date of birth

  • Which treatment?

    Dropdown Icon
    Dropdown
  • Please note any medical conditions, medications, allergies or recent treatments

    Long Answer Icon
    Long Answer
  • Semi-permanent

    Consent Icon
    Consent
  • Results vary

    Consent Icon
    Consent
  • Possible effects

    Consent Icon
    Consent
  • Pre & aftercare

    Consent Icon
    Consent
  • Honest disclosure

    Consent Icon
    Consent
  • Signature

    Signature Icon
    Signature
Use Template Arrow Right Icon

Template FAQs

Common questions about the Permanent Makeup Treatment Consent Form — what it captures, when to use it, and how to make it your own.

Why is signed consent important for permanent makeup?

Because PMU implants pigment and carries real, if small, risks, and clients need to understand them and the realities of fading and top-ups. A signed consent records that they did, protecting them and you.

What does the client confirm?

That PMU is semi-permanent and fades, that results vary and a top-up is needed, that swelling and colour change during healing are normal, that they’ll follow pre- and aftercare, and that they’ve disclosed their history.

Why set expectations about fading and top-ups?

Because clients often expect a permanent, finished result from one session. Framing it honestly — semi-permanent, needing a top-up and periodic refreshes — prevents disappointment and complaints.

Should it be signed before every session?

The full consent is signed before treatment begins, with a check of any health changes before a top-up. Some artists re-confirm consent at each session.

Why record date of birth and a signature?

To confirm the client is an adult and to record that they actively agreed to the treatment, making the form a reliable, dated record.

Is the form free?

Yes. It’s free with a Fun Forms account, fully brandable, and ready for clients to sign on a tablet before their appointment.