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CONTOURS BEAUTY INK — Facial Intake and Informed Consent. Please complete all questions and check every item that applies. Your practitioner will review your answers, discuss your goals, and confirm appropriate services before treatment. Update your information before each visit. Completing this form does not approve a requested service or replace the consultation.

Primary reason for your visit
Facial services requested — requests only; your practitioner will confirm suitability

This checklist records requests, not automatic approval or consent to every listed service. Only services confirmed by the practitioner and specifically agreed to by the client will be performed.

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