Free Microblading Consent Form (Printable PDF)

Microblading creates tiny cuts in the skin and deposits pigment, so a clear health screening and informed consent are not optional. This free microblading consent form covers medical history, blood thinners, skin conditions, pigment expectations and aftercare. Add your logo and download a clean PDF for your studio.

Your Business Name

Microblading Consent Form

Please print clearly and tick all that apply.

Client details
Full name
Date of birth
Mobile number
Email address
Emergency contact name and number
Brow history
Have you had microblading, tattooing or permanent makeup on your brows before?
NoYes, microbladingYes, tattoo or powder brows
Brow shape and colour I have discussed and approved
Health screening - tick any that apply
Taking blood thinners, aspirin or anticoagulants
Taken Accutane/isotretinoin in the last 6-12 months, or using retinol or acid products on the brow area
Pregnant or breastfeeding
Haemophilia, other bleeding disorder, or I bruise or bleed easily
Diabetes, heart condition, or a compromised immune system
Eczema, psoriasis, rosacea, acne, sunburn or cold sores near the brow area
History of keloid or raised scarring
Hepatitis, HIV, or another blood-borne infection
Allergy to pigment, latex, numbing cream, lidocaine or fragrance
Botox, filler or facial surgery in the last 4 weeks
Medication or anything else your artist should know
Informed consent
I understand microblading uses a hand tool to place pigment in the skin and that results are semi-permanent
I understand the risks, including swelling, scabbing, infection, uneven retention, colour change and scarring
I understand healed colour and shape differ from the day-one result and that a touch-up is usually needed after 6-8 weeks
I understand pigment may be noticed on some scans and I will tell medical staff
I have received aftercare instructions and will follow them
The information I have given is accurate and complete
Photos and policy
I agree to before and after photos being taken for my record
I have read and agree to the deposit, touch-up and cancellation policy
Signature
Client signature
Date

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What is a microblading consent form?

A microblading consent form is a signed record that your client understands what microblading is, has told you about her health, and accepts the risks and the healing process. Because the service breaks the skin and leaves pigment behind, the form carries more weight than a typical beauty waiver.

It does three jobs. It screens for conditions that make the treatment unsafe or unpredictable. It sets expectations about colour, shape and fading before she is committed. And it creates a dated record that she was told about bleeding, scabbing, infection risk and the need for a touch-up.

What to include

Start with contact details and an emergency contact, then add the parts that are specific to permanent brow work.

  • Previous brow history: old microblading, tattoo or powder brows, because existing pigment changes your colour choice.
  • Health screening: blood thinners, bleeding disorders, diabetes, immune conditions, keloid scarring and blood-borne infections.
  • Skin and product checks: Accutane, retinol, acids, sunburn, cold sores, eczema and recent Botox or filler.
  • Pregnancy and breastfeeding. Most artists decline both.
  • Allergies to pigment, latex and numbing cream.
  • Informed consent covering semi-permanent results, healing stages and the 6-8 week touch-up.
  • A line noting that pigment can show on some medical scans.
  • Photo permission, deposit terms, signature and date.

Keep a space to record the agreed shape and colour so there is no argument later.

When to use it

Send the form with the booking confirmation or ask for it at a patch test or consultation, not on the day of the procedure. A client who reads the health questions at home answers them more honestly than one who is lying back with numbing cream already on.

Ask for a fresh signature at the touch-up if her health has changed, and always before a corrective or colour-boost session. A new signed form is also wise if a long time has passed since the first visit, since medication, pregnancy and skin conditions can all change in a year.

If any screening answer is a yes, pause and talk it through. Some cases need a doctor's note, and some mean saying no.

Tips from microblading pros

Ask about blood thinners in plain words. Many clients do not think of daily aspirin or fish oil as medication, so name them. Heavy bleeding makes pigment retain poorly and can ruin the result.

Check for retinol and acids on the face, not just Accutane. Thin, irritated brow skin heals unevenly, and you will be blamed for it.

Show healed photos of your own work next to fresh ones. A consent form says results change, but a photo makes it real.

Explain that oily skin tends to blur strokes and that pigment can heal cooler or warmer than it looks on the day. Clients who hear this before the session rarely panic during week two.

Put the touch-up price and timeframe in writing. Include what happens if she skips the touch-up or goes elsewhere.

Store forms securely. They contain health data and, with photos, they identify a client.

Common mistakes to avoid

  • Treating a client who says "just a little" about blood thinners as fine. Ask which medication and how often.
  • Doing the form on the day. The decision is already made by then and pressure to proceed is high.
  • Promising a perfect result. Consent should say healing varies and touch-ups are normal.
  • Forgetting pregnancy and breastfeeding. Most professional bodies advise waiting.
  • Not recording the approved brow shape. Photos with a signature save difficult conversations.
  • Skipping the aftercare sign-off. Clients who pick scabs or soak brows too early often blame the artist.

Do it all in LuxeDesk

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    Clients fill in and sign consent forms on their phone, and the signed PDF saves to their profile.

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Frequently asked questions

Do I need a consent form for microblading?

Yes. Microblading breaks the skin, so a signed health history and informed consent are standard practice and are often required by local health regulations and insurers. Check your licensing rules.

Who should not get microblading?

Many artists decline clients who are pregnant or breastfeeding, have taken Accutane recently, have active skin conditions on the brows, have uncontrolled diabetes, or have a bleeding disorder. Some cases need a doctor's approval.

Why does a microblading form ask about blood thinners?

Blood thinners increase bleeding, which pushes pigment out of the skin and can cause patchy healing. Aspirin, fish oil and some supplements count too.

How long should I keep microblading consent forms?

Many artists keep them for at least seven years, and longer for minors. Insurers and local rules differ, so confirm with yours.

Is microblading safe for minors?

Rules vary widely and many places set a minimum age, often 18. Check your local law before offering the service to anyone under that age.

Do I need a new form for the touch-up?

It is best practice, especially if her health, medication or skin condition has changed. At minimum, do a verbal health check and note it in her file.

This template is for general information only and is not legal advice. Check the requirements in your state or country.