Free Permanent Makeup Consent Form Cosmetic Tattoo PDF

Create and download a free permanent makeup (PMU) consent form PDF for brows, eyeliner, and lip blush. It captures the contraindications, allergy disclosures, and results expectations cosmetic tattooing requires. Customize the fields below and download instantly, no sign-up required.

What Should a Permanent Makeup Consent Form Include?

Permanent makeup — also called cosmetic tattooing or micropigmentation — covers brows, eyeliner, and lip blush. Because pigment is implanted near sensitive areas like the eyes and lips, the consent form needs procedure-specific contraindications and clear language about how healed results behave. A complete PMU consent form documents informed consent, screens for contraindications, and sets expectations in writing.

A thorough permanent makeup consent form should capture:

  • Client information — full legal name, date of birth, and contact details.
  • Treatment area — brows, eyeliner, lip blush, or scalp micropigmentation, plus the pigment shade and patch-test status.
  • Contraindications — pregnancy or breastfeeding, recent Accutane use, blood thinners, diabetes or autoimmune conditions, and — for lip work — a history of cold sores (HSV), which often warrants antiviral premedication.
  • Allergy disclosure — known reactions to pigments, topical anesthetics, or latex.
  • Results expectations — acknowledgment that color softens and fades, asymmetry can occur, and touch-ups are normal.
  • Aftercare and signature — confirmation aftercare was received, plus a signed assumption of risk.

Lip Blush, Eyeliner, and Why Area-Specific Screening Matters

Different PMU treatments carry different risks. Lip blush can trigger a cold-sore outbreak in clients with HSV, so screening for it — and recommending antiviral premedication — is standard practice. Eyeliner sits at the lash line, where infection or pigment migration has higher stakes. A single generic form cannot screen for all of this, which is why the treatment-area field drives the rest of the disclosure.

As with all cosmetic tattooing, documented expectations prevent most disputes. When a client signs that they understand color fades, results can appear asymmetrical before settling, and a touch-up is usually needed, you have a clear record that protects your work.

Why Use a Digital Consent Form?

Paper consent forms are prone to damage, loss, and illegible handwriting. A digital consent form solves these problems while improving the client experience:

Area-specific screening

Brow, eyeliner, and lip-blush contraindications — including HSV screening for lips.

Results-expectation clauses

Documents fading, asymmetry, and touch-ups so misunderstandings do not become complaints.

Clients fill on their phone

Collect the PMU intake before the appointment, not in the chair.

Stored and searchable

Retrieve any signed PMU consent form instantly.

Create Your Free Permanent Makeup Consent Form PDF

Customize the treatment area, contraindications, and aftercare language below, then download your PMU consent form.

Client Information

Full Legal Name(text)
Date of Birth(date)
Email Address(email)
Phone Number(phone)
Emergency Contact(text)

Procedure Details

Treatment Area(select)
Pigment Color / Shade(text)
A patch test was completed at least 24-48 hours prior(checkbox)

Medical History & Contraindications

Are you pregnant or breastfeeding?(checkbox)
Have you used Accutane/isotretinoin in the last 12 months?(checkbox)
For lip procedures: do you get cold sores / have HSV?(checkbox)
Are you taking blood thinners?(checkbox)
Do you have diabetes or a healing/autoimmune disorder?(checkbox)
Known allergies (pigments, anesthetics, latex)(textarea)

Aftercare & Expectations

I have received and understood permanent makeup aftercare instructions(checkbox)
I understand a touch-up session is usually required and color softens/fades over time(checkbox)

Free download. We just need your email to send the PDF.

Want Digital Consent Forms Instead?

Skip the paper. With InkWaiver, your clients fill consent forms on their phone, sign digitally, and everything is stored securely in the cloud. Set up in under 5 minutes.

No credit card required. Cancel anytime.

Frequently Asked Questions