Tattoo Consent Form

Tattoo Consent

Before we can sit you down in a chair, we just need to do a little record keeping. Lets start with the name of the artist with whom you have a booking.

Personal Information

NO ID = NO TATTOO
Address
Address
City
State/Province
Zip/Postal

Medical History

Have you been tattooed before?
Do you have a skin disease or skin lesions?
Are you Pregnant
Do you have a heart condition, epilepsy, diabetes, seizure, narcolepsy, or fainting?
Are a hemophiliac (bleeder) or on any medications that may cause bleeding or may hinder blood clotting, such as anticoagulants?
Do you have any communicable diseases? (H.I.V., A.I.D.S., HEPITITIS)
Are you under the influence of alcohol or drugs, prescribed or otherwise?
Do you have any adverse reactions to pigments, dyes, disinfectants, or soap? (Medicines or Topical Solutions)

Waiver and Release

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Tattoo Information