INFORMATION AND INFORMED CONSENT FORM

Micropigmentation is a technique that will help you correct, beautify or improve eyebrows, lips, eyes (eye-liner) and breast areolas, whether you are a woman or a man. It is a type of piercing using a dermograph, needle and ink that helps pigment the skin in the areas that may be affected.

The inks used comply with the provisions of the Second Additional Provision of Royal Decree 1599/1997, of October 17, on cosmetic products, and have their corresponding health registration from the Spanish Agency for Medicines and Health Products.

The inks used in the session are placed in sterile, single-use containers and discarded later. Micropigmentation is an alternative to eyebrow or lip tattoo allows you to show off a semi-permanent makeup and look much more polished at all times.

It is a perfect technique both to improve aesthetics and to cover imperfections such as eyebrow alopecia, lack of hair in some areas and it even serves to reconstruct the breast areolas in the event of having undergone an intervention. A perfect method to regain confidence in ourselves.

 

Description sterilization and disinfection methods used:

– Sterilization equipment: Model STE-D
– Sterilization methods: Steam autoclave sterilization

– Type of maintenance: Periodic

    • 50 cycles: Cleaning the door gasket, chamber, trays and support, filter inside the chamber and inside the water tank.
    • 200 cycles: Change of bacteriological filter and cleaning of the water tank.

– Cleaning and disinfection methods:

    • Instrument cleaning: Ethyl alcohol 70% for 30 min.
    • Cleaning electrical instruments: Isopropyl alcohol 70%
    • Room cleaning: Samitol

 

Requirements of the applicator:

CECILIO MATEOS RUBIO WITH DNI 45714458A COMPETENT and in possession of the PROFESSIONAL QUALIFIED certificate BY THE Ministry of Education and Science of the JUNTA DE ANDALUCIA AND IN COLLABORATION WITH THE EUROPEAN UNION ACCORDING TO ROYAL DECREE 1224/2009 OF JULY 17 AND RESOLUTION OF SEPTEMBER 1, 2020 in qualifications and vocational training

Code Name Level
UC0064 Prepare the technical and personal means to apply comprehensive makeup. 2
UC0067 Perform and supervise micropigmentation processes. 3
UC0068 Perform and supervise artistic tattoo techniques. 3

User data

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Legal representative data

Informed consent, place, date and signature

I understand that the development of the work may require several applications to achieve the desired result, which I assume.
I certify that I am given the instructions to follow before and after the treatment and I undertake to follow them, assuming the responsibility derived from non-compliance with them, as well as that the necessary review will not be free of charge if it goes beyond the monthly appointment to which I I promise to arrange with my specialist technician.

I acknowledge that the position, color and shape of the work to be performed are my personal choice.
In case of superimposed engraving of another previous micropigmentation from other studies, there is the possibility of incompatibility of inks since intolerance to an inert pigment in the skin can react in an allergic way and immediate or indefinite photosensitization reactions and that a job may be left. incomplete.
I DECLARE: I do not suffer from hemophilia, dermatitis, cold sores, diabetes, allergies, keloid scarring, infectious processes, fevers, epilepsy, coagulation disorders, allergy to topical anesthesia, HIH (AIDS), hepatitis B or C.
If my blood group is (0+ 0-) I assume that due to my blood group the 70% of the pigment does not set on my skin as well as that the increase and decrease in volume can alter the drawing.

I DECLARE: that I have read the information sheet that has been given to me. I have been able to ask questions about the application technique and I have received satisfactory answers to my questions and they have provided me with the care cream, which I must apply a very thin layer twice a day for two weeks to avoid softening the wound and Take care of it from sun exposure, if there is any doubt, contact the applicator staff in case of doubt. 619061064
I understand that I voluntarily submit to the applied technique.

In compliance with the General Data Protection Regulation 2016/679 and Organic Law 3/2018, of December 5, on the Protection of Personal Data and guarantees of digital rights, you are informed that your data will be included in an automated file. for its treatment, the person responsible for which is INTEGRALDIVA, SL, and whose purpose is the custody of the express consent necessary to manage the requested request. The data provided will be kept as long as the contractual relationship is maintained or for the years necessary to comply with legal obligations. The information provided will not be transferred to third parties except in cases where there is a legal obligation. You have the right of access, rectification, deletion, limitation of processing, portability or opposition of your data at C/Cádiz, 16. 1880 de Baza. Granada, or at the email address fina_actualsthetic@hotmail.com.
Check if you authorize the sending of offers and commercial communications related to those requested by any means (postal, email, WhatsApp, SMS, telephone), and this consent may be revoked at any time by the indicated means.
I authorize INTEGRALDIVA, SL to use its images and videos taken by the company for the promotion of the entity and to publish them on the website, social networks, calendars, media, etc. The data provided will be kept as long as the advertising management is maintained and will not be transferred to third parties except in cases where there is a legal obligation.

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