Within the last 30 days, have you undergone any of the listed cosmetic/surgical procedures? 

• Radiotherapy
• Chemotherapy
• Botox/injections 
• Laser eye surgery 
• Facelifts 

Do you have an allergy to any of the following?

•  Latex gloves
•  Lidocaine or other numbing agents
•  Bacitracin
•  Nickle

Do you currently have or have you ever in the past had any of the following conditions?

•  Cold sores
•  Diabetes
•  High blood pressure
•  Blood thinners/ anticoagulants, aspirin, ibuprofen, Coumadin
•  Mitral Valve Prolapse implant.
•  Autoimmune Disorder
•  HIV
•  Hepatitis
•  Bruise easily
•  Dry Eyes
•  Blurred Vision
•  Glaucoma
•  Thyroid conditions
•  Alopecia

Accuracy of Information I declare that the above personal and medical information is correct to the best of my knowledge. 

Privacy and Sharing of Information I acknowledge that any information provided by me to Joni Ella Esthetics is being provided solely for the purpose of Joni Ella Esthetics internal records and under no circumstances is it deemed to be given to Joni Ella Esthetics for the purpose of making or giving any medical advice, decisions, opinions, diagnosis or representation to me or any other third party. I further agree that Joni Ella Esthetics will not disclose my personal or medical information to any third party without my express consent.

Cancellation Policy Your appointment time is reserved just for you. A late cancellation or missed visit leaves a hole in the Artist’s Day that could have been filled by another client. As such, we require 3 days notice for any cancellations or changes to your appointment. Clients who provide less than 3 days notice, or miss their appointment, will be charged a cancellation fee. 

Age of Majority I acknowledge that I am at least the age of consent in the USA, being 18 years.

Voluntariness I declare that I am undergoing the above-noted procedure voluntarily under my own free will. 

Permanent/Semi-Permanent Procedure I acknowledge that the procedure I am to undergo is semi-permanent/permanent tattooing and I understand and acknowledge any and all risks associated with a permanent/semi-permanent procedure. I hereby release and forever discharge from all demands, damages, actions or causes of action arising out of the performances of the said treatment procedures, which I, my heirs, executors, administrators or assign can, shall or may have. 

Sobriety I declare that I am not and will not be under the influence of drugs or alcohol while undergoing the above procedure. 

No Refund Policy Permanent make up is not suitable for everyone. We cannot guarantee successful result on 100% of our clients especially those with problem skin like oily skin and large pores. We do not offer refunds.