Lip blush consent form: cold sores, the frosty stage and aftercare
Lips are the PMU service with the most surprises in the first month. They swell, they peel, and then around the second week the color seems to disappear. Add cold sores to the mix and you have a form that needs to do more screening, and more reassuring, than almost any other in the kit.
This exact form is built into SlickChart: send it to your client's phone to sign before the visit, and the aftercare below goes home with her.
What lip blush is, and what it is not
My form describes it simply: a machine with a single-use needle shades soft color into the lips and defines the lip line. The appointment is about 2 to 3 hours, and results usually last 2 to 3 years.
Two lines in that box set honest expectations. A touch-up at 6 to 8 weeks is part of the process, and many lips need 2 or more sessions. And lips heal softer, lighter and a little cooler than they look on day one. She is not shocked by her healed color.
Cold sores get their own attention
The cold sore question appears in three places, on purpose. The risk list opens with it: a cold sore outbreak, even if they are rare for you. The health check asks separately about a cold sore now or in the past 2 weeks, and about a history of cold sores at all. And the form tells her what to do about it:
Had cold sores before? Ask your physician about preventive medication before your visit.
That line sends her to her physician without naming a medication, because that decision is not ours to make. My prep guide repeats the advice, and my booking policy says an active cold sore before lip work is a reason to call and reschedule.
The rest of the risk list
After cold sores: uneven or patchy color refined at touch-up, allergy to pigment or numbing even months later, rare scarring or texture change, swelling that lasts longer than a few days, rare granulomas, infection without good aftercare, and a cooler or darker shift, more so on darker lips. A short MRI line asks her to tell the radiologist.
Health check items specific to lips
Alongside the usual items (pregnancy or breastfeeding, keloids, Accutane in the past 6 months, chemo or radiation in 6 months, bleeding disorders or blood thinners, allergies), the lip form screens for lip filler in the past 4 weeks, Botox near the lips in 2 weeks, a rash, infection or cracked lips, and a previous lip tattoo. A free text box sits underneath. A check starts a conversation; it is not a diagnosis.
Design approval with a swatch
She confirms she has seen her lip shape outlined in a mirror and a pigment swatch, and approves the lip line and color. My prep guide asks her to bring a lipstick or liner she loves, which gives you both a shared reference.
The acknowledgements
The frosty stage line is the one clients remember: lips look bright, then peel and turn chalky before color returns, with final color at 4 to 6 weeks. Another says darker lips may need a corrector session first. The rest cover honest history, results that are not guaranteed, aftercare, private photos and your refund policy.
Aftercare she will actually follow
My lip guide is written to be read on her phone, one stage at a time:
- Day 0: a thin layer of balm at all times, a wrapped cool compress 10 minutes at a time, and a straw for drinks. No hot drinks or kissing.
- Days 1 to 3: rinse gently after eating, pat dry and reapply balm. Skip spicy, salty, acidic or very hot foods, and no kissing for 7 days.
- Days 3 to 7: peeling and itching. Keep balm on and never pick, lick or bite.
- Days 7 to 14: the frosty stage. No lipstick, gloss or other lip products for 14 days.
- Days 14 to 28: color returns from within. No sun or tanning for 4 weeks.
- Weeks 4 to 6: healed, softer and cooler. Touch-up at 6 to 8 weeks, and lip filler waits at least 4 weeks or until after the touch-up.
The call-me list starts with blisters, tingling or a cold sore starting, then fever, hives, pus or red streaks, worsening pain after 72 hours, and firm bumps later on. Trouble breathing or swelling of the face or throat means calling 911.
Questions to decide for your own practice
- Will you book lip work for a client with a cold sore history before she has spoken to her physician?
- When does a darker lip need a corrector session first?
- How will you note healed color at the touch-up? (Here is what to record in a client chart.)
- PMU licensing, health department and bloodborne pathogen rules vary by state and county, so check with your state and local health department and board. This post is not legal or medical advice.
Use this form with your clients
SlickChart has this exact lip blush consent and aftercare built in for subscribers. The form goes to the client's phone to sign before the visit, or she signs on your device in the room, and any contraindication she checks is flagged for you. The aftercare lands in the client's own app, styled with your logo, and it all works alongside the Square account you already have. If that would save you paperwork, try SlickChart.
Prefer paper? The printable lip blush set, with the consent form, protocol and aftercare, is in my Etsy shop, ready to print or edit in free Canva.