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Memo to File:
Micropigmentation device (permanent cosmetics) is disassembled after each use: casing must be removed, washed with a small brush and disinfectant, and
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NEW YORK STATE MEDICAID PROGRAM PHYSICIAN
No bill will be processed for payment without a properly completed consent form. color defects of skin, including micropigmentation; 6.0 sq cm or less.
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PERMANENT COSMETICS/TATTOO CONSENT RELEASE
I acknowledge that the obtaining of my tattoo is my choice alone and I consent to the application of the tattoo and to any actions or conduct of the associates,
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