A lip blush consent form is the document a client signs before a lip blush or lip tattoo appointment. It sets clear expectations about swelling, color shift, and touch-ups. It also screens for cold sore history, recent filler, and other health issues that affect how lips heal.
Appointment:[Appointment Date] at [Appointment Time]
Client Information
•Phone: [Client Phone]
•Email: [Client Email]
•Date of Birth: [Client Dob]
Treatment Details
•Technique:
Lip blush (soft, sheer color)
Lip liner
Full lip color
Other: [Technique]
•Pigment Color:[Pigment Colors]
I approve the lip shape and color chosen before the procedure.
Patch Test
•Patch test completed?
Yes. Date: [Patch Test Date]. Result: [Patch Test Result]
No. I declined or waived the patch test, and I accept the higher risk of an allergic reaction.
I understand that a patch test lowers, but does not remove, the risk of an allergic reaction.
Cold Sore History
•Have you ever had a cold sore or fever blister on or near your lips?
Yes
No
•Do you have a cold sore, blister, or open sore on or near your lips right now?
Yes
No
We won't work over an active cold sore. Your appointment will be rescheduled.
I understand that lip procedures can trigger a cold sore outbreak in people who have had them before. An outbreak can affect healing and the final color.
If I have a history of cold sores, I was advised to talk with my doctor before my appointment about whether I need antiviral medicine. The studio does not give medical advice or prescribe medicine.
Healing and Expectations
I understand my lips will likely be swollen and tender for the first few days.
I understand the color will look brighter or darker right after the procedure. As my lips heal, they may look patchy, pale, or chalky before the color comes back over the next few weeks.
I understand the final result isn't visible until healing is complete, usually 4 to 6 weeks.
I understand that a touch-up 6 to 8 weeks after the first session is standard and may be needed to get an even color. Touch-ups may be charged separately.
I understand my natural lip color affects the result. Darker or uneven lips may need extra sessions.
I understand that lip filler can change the shape of my lips. I have told my artist about any recent or planned filler, and I will follow my artist's advice on how long to wait between filler and lip blush.
I understand lip blush fades over time, and sun exposure speeds this up. Maintenance appointments are needed to keep the color fresh.
I understand that lips aren't perfectly symmetrical, and a perfect match can't be guaranteed.
I agree to follow the aftercare instructions. I won't pick or peel my lips while they heal.
Risk Acknowledgement
I understand risks include swelling, cold sore outbreaks, infection, allergic reaction, uneven color, pigment migration, and scarring.
I have been told that cosmetic pigments may affect MRI images. I will tell medical staff about my lip blush before an MRI.
I understand that no specific result can be guaranteed.
** I consent to before and after photos for the artist's portfolio and marketing. I can say no without it affecting my treatment.
•Autoimmune conditions, diabetes, or immunosuppressant medications?
Yes
No
Other relevant medical information::
I certify that I have answered these questions truthfully and to the best of my knowledge.
My decision to get lip blush is my own, and I consent to the procedure described above.
Client Signature: ______ Date: ______
Artist/Staff Signature: ______ Date: ______
Tips for using this form
•Ask about cold sore history at booking, not at the appointment, so clients have time to talk with their doctor
•Reschedule any client who shows up with an active cold sore
•Show healed photos, not just fresh ones, so clients know the color will soften
•Write down recent and planned filler dates on the form
•Book the touch-up before the client leaves
Frequently Asked Questions
What should a lip blush consent form include?
The chosen shape and color, patch test status, cold sore history, and plain notes on swelling, color shift, touch-ups, and fading. It should ask about recent or planned lip filler and screen for other health issues. Add a risk list and signatures from the client and artist.
Can you get lip blush if you get cold sores?
Often, yes, but lip procedures can trigger an outbreak in people who’ve had cold sores before. Clients with that history should talk with their doctor before the appointment, since only a doctor can decide whether they need medicine. Artists shouldn’t work over an active cold sore.
Why does lip blush color change while healing?
Right after the procedure, color looks bright and bold. As the lips heal and peel, they can look pale or chalky for a while. The color usually comes back softer over the next few weeks. The final result isn’t clear until healing is done, which is why touch-ups are standard.
Can you get lip blush after lip filler?
Many clients have both, but timing matters. Fresh filler can cause swelling and change the lip shape, which affects where the color goes. Follow your artist’s and injector’s advice on how long to wait, and write the filler dates on the consent form.
Want this handled automatically?
Apprentice sends prep links before appointments: consent, deposit, and instructions in one flow.
Clients arrive ready, so you can focus on the work.
Disclaimer: This template is provided as a general starting point and is not legal advice.
Laws vary by location. Consult a lawyer before using this in your business.
Apprentice is not responsible for any legal issues arising from the use of these templates.
Want this handled automatically?
Apprentice sends consent forms, deposits, and prep instructions before clients arrive.
No printing. No chasing. Everything signed and ready.