I hereby authorise Peaches or Amy @ Just Peachy PMU to perform upon myself micro-pigmentation. If any unforeseen condition arises in the course of the procedure(s) I further request and authorise her to use her full judgement and do whatever she deems advisable and necessary in the circumstances.

I understand that micro-pigmentation is an advanced form of tattooing.

I accept responsibility for determining the colour, shape and position of the enhancement as agreed during the course of my consultation.             

I understand that a sensitivity test for pigment does not guarantee that I will not have an allergic response. I am aware of that allergic response to pigment is rare and accept all responsibility if allergic response occurs. I am aware that a sensitivity reaction to anaesthetics can occur and accept all responsibility if allergic response occurs.          

I fully understand and accept that non-toxic pigments are used during the procedure and that the enhancement achieved will fade over the course of 1-3 years. Even though the colour has faded, the pigment will stay in the skin indefinitely and may leave a light residue of colour.      

I accept that the highest standards of hygiene are met, and that sterile disposable needles are used for each individual client, procedure and visit.

I understand and accept that new enhancements usually require multiple applications of pigment to achieve desirable results, and that 100% success cannot be guaranteed. I understand that this is why I need to return for the control procedure, which is included in the initial price. I understand and agree, that if I do not return for all the treatment sessions as set out in my treatment plan, that I accept total responsibility for the final result.                 

I understand that the control procedure, if required, must be performed 6-12 weeks after the initial procedure and that after the said 3-month period, that I will be charged an additional fee for any further treatment. I understand that a 6-8 week period must pass from the initial pigment application to the control procedure, to allow the procedure site to fully heal. We will book the appointment when it is convenient for both parties, on your initial visit.           

I understand that micro-pigmentation is an invasive procedure and the process can be uncomfortable.

I understand that the pigment may migrate under the skin.                                                    

I am aware that the result of the procedure is determined by the following:

·       Medication

·       Skin Characteristics - i.e. dry/oily/sun-damaged

·       Natural skin undertones

·       Alcohol intake and smoking

·       General stress

·       A compromised immune system

·       Poor diet

·       Post procedure care

·       Clients bodily reaction

·       Sun exposure/Sun bed use

I have been advised that upon completion of the procedure there may be swelling and redness of the skin, which usually subsides within 1 - 4 days dependent on lifestyle. In some cases bruising can occur.  I have been advised that I can resume normal activities immediately following the procedure, however, using cosmetics, prolonged exposure to water, excessive perspiration and exposure to the sun should be limited for up to two weeks following the treatment.

I understand that immediately after the procedure the enhancement can be 30 to 70% darker than the desired result. I understand that the true colour will be visible 6 weeks after each application, and that the colour may vary according to skin tones, skin type, age and skin conditions. I appreciate that some skins accept colour more readily than others and no guarantee of an exact effect or colour can be given.

I understand that there are few effective methods for pigment removal. (Laser and chemical removal have proven successful, however both are a process).

I agree to inform any medical professional of my micro-pigmentation enhancement if I require a MRI scan.

I agree to make any technician who is conducting laser or IPL treatments close to my enhancement, aware that I have micro-pigmentation so that he/she can adapt his/her treatment plan accordingly.

I understand that a week before my menstrual cycle (if applicable) my body will be at its most sensitive.

I agree to follow all pre-procedure and post-procedure instructions as provided and explained to me by the technician. I understand that infection and possible scarring can occur if I do not adhere to the said instructions.

To my knowledge I do not have any physical, mental, or medical impairment or disability that might affect my well being as a direct or indirect result of my decision to have the procedure done at this time.  I am at least 18 years old.  I am not under the influence of drugs or alcohol.

For the purpose of documentation, I also consent to the taking of “before” and “after” photographs of said procedure(s).

 I understand that I must be 18 years or older to have any form of Permanent Makeup.

I understand prices are subject to change.

I understand that Just Peachy Brows Permanent Makeup requires a none-refundable booking fee at the time of making a booking to secure an appointment.

I understand that there is a 5 day notice to reschedule a PMU appointment or the non-refundable booking fee will be forfeited, and another will be required to secure a new appointment.

I understand that if I cancel my appointment the booking fee is non-refundable, with no exceptions.

I understand if I do not show up to my scheduled appointment, 100% of the treatment cost is to be paid.

I understand that new treatments may require a second application which will be included in initial cost. Any additional sessions due to inadequate aftercare or style preferences; will be an additional charge/cost.

Payment is accepted by debit, credit card or cash. Checks are not accepted.

I understand refunds will not be given prior or post treatment.

We require images of each client and the chosen treatment area before your appointment for online digital assessment before your arrival.

By signing this form below I acknowledge that I have completely read and fully understand the above release and agree to be bound thereby.

Peaches Graham / Amy Johnson has the right to refuse completing the treatment if we do not aline in the treatment consultation or outside influence is heavy on your decision making. The consultation fee will be kept in this circumstance.


I CERTIFY THAT I HAVE READ, AND HAVE HAD EXPLAINED TO ME, AND FULLY UNDERSTAND THE ABOVE CONSENT FORM AND THAT I HAVE REQUESTED TO HAVE MICRO-PIGMENTATION OF MY OWN FREE WILL.