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Tattoo-consent-form

The Tattoo Consent Form collects personal contact information and medical history from clients before receiving a tattoo. It includes questions about substance influence, pregnancy, communicable diseases, and skin conditions, along with agreements regarding the permanence of tattoos, photography consent, and liability waivers. Clients must confirm the accuracy of their information and acknowledge the importance of following aftercare instructions.

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alita.lopeza
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10 views3 pages

Tattoo-consent-form

The Tattoo Consent Form collects personal contact information and medical history from clients before receiving a tattoo. It includes questions about substance influence, pregnancy, communicable diseases, and skin conditions, along with agreements regarding the permanence of tattoos, photography consent, and liability waivers. Clients must confirm the accuracy of their information and acknowledge the importance of following aftercare instructions.

Uploaded by

alita.lopeza
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Tattoo Consent Form

1. Contact information *

First Name

Last Name

Address Line

Email

Phone

Birthday

Month Day Year

2. Are you under the influence of drugs or alcohol? *


Yes

No

3. FEMALE ONLY: Are you pregnant or nurging? *


Yes

No

4. Do you have a communicable disease? *


Yes

No

5. Do you have any skin conditions? *


Yes

No
6. Please tell about your medical history (e.g. Diabetes, Cardiovascular Disease,
Epilepsy, Blood-related disease etc.) *

Type your answer here

7. Skin conditions (e.g. Rashes, eczema, infection, psoriasis, freckles, etc.) *

Type your answer here

Please read and agree to the following:

8. I understand that this procedure is a permanent change to my skin and body.*

Agree

9. I allow my tattoo to be photographed and be used for Tattoo Shop portfolio showcased.*

Agree

10. I acknowledge that the Tattoo Shop does not offer refund.*

Agree

11. I agree that the studio does not have a way of identifying if I am allergic to the
elements or ingredients that will be used for my tattoo.*

Agree
12. I understand that I need to take care of the tattoo by following the
instructions given to me by the Tattoo Shop.*
Agree

13. I understand that I might get an infection if I don't follow the instructions
given to me in regards of taking food care of my tattoo.*

Agree

14. I indemnify and hold harmless the Tattoo Shop against any claims, expenses,
damages, and liabilities.*

Agree

15. I confirm that the information I provided in this document is accurate and true.*

Agree

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