DE RAYSTATTOO PARLOR

Before Your Session

Tattoo Consent Form

Complete this once per appointment. Signed forms are stored securely and cannot be altered afterwards.

Your information

Tattoo information

Artist
To be confirmed with your artist
Appointment date
To be confirmed with your artist
Description
To be confirmed with your artist
Placement
To be confirmed with your artist
Approximate size
To be confirmed with your artist
Style
To be confirmed with your artist
Colour / black & grey
To be confirmed with your artist

Health & safety

If you are unsure whether tattooing is appropriate given your medical circumstances, consult a qualified healthcare professional before your appointment. This form does not provide medical advice or diagnosis.

Do you have any known allergies?
Have you previously experienced a reaction to tattoo ink, pigments, latex, adhesives or similar products?
Do you currently have a rash, wound, infection, irritation or other skin condition at the tattoo site?
Do you have any bleeding or blood-clotting condition?
Are you currently taking medication that may affect bleeding or healing?
Do you have diabetes or another condition that may affect healing?
Do you have an immune-system condition or take medication that affects your immune system?
Are you pregnant or breastfeeding?
Have you recently consumed alcohol or recreational drugs?

Acknowledgements

  • The information I have provided is truthful and complete.
  • Tattooing involves breaking the skin.
  • Tattooing carries potential risks including infection, allergic reactions, irritation, scarring and pigmentation changes.
  • Healing and final appearance can vary between individuals.
  • Tattoo results can vary based on skin, placement, healing and aftercare.
  • I have had an opportunity to ask questions.
  • I voluntarily consent to receiving the tattoo.
  • I agree to follow the studio's aftercare instructions.
  • I understand that concerning symptoms may require medical attention.

This consent language is a studio template and should be reviewed by a qualified legal professional for the laws applicable to the studio's location before production use.

Electronic signature

Sign above with your finger, stylus or mouse.
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