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REBIRTH TATTOOS

CONSENT TO TATTOO PROCEDURE

Client Information

DATE OF BIRTH
Day
Month
Year

Do you have or have you ever had any of the following?

Do you have any heart conditions, diabetes, or epilepsy?
YES
NO
Do you have any skin conditions (eczema, psoriasis, rashes, infections, etc.)?
YES
NO
Do you suffer from keloid scarring or abnormal wound healing?
YES
NO
Do you have allergies to ink, latex, lidocaine, antiseptics, or adhesives?
YES
NO
Are you currently under the influence of alcohol, drugs, or medication that thins the blood?
YES
NO
I agree that any touch-up work needed, due to my own negligence, will be done at my own expense.
YES
NO
I realize that variations in color and design may exist between any tattoo as selected bye me as ultimately applied to my body. i understand that if my skin color is dark, the color will not appear as bright as they do on light skin.
YES
NO

Consent Agreement

I hereby confirm and agree that:

  1. I am at least 18 years old (or have parental/guardian consent if under 18).

  2. I have provided accurate health information to the best of my knowledge.

  3. I understand that tattoos are permanent and may involve some pain, swelling, or allergic reactions.

  4. I release Rebirth Tattoos and its artists from any liability related to health risks, infections, or unforeseen reactions.

  5. I understand proper aftercare instructions will be given to me, and it is my responsibility to follow them.

  6. I consent to the use of my photos/videos of the tattoo for the studio’s portfolio, social media, or advertising.

YES
NO
Date
Day
Month
Year
ड्राइंग मोड चयनित। चित्र बनाने के लिए माउस या टचपैड की आवश्यकता होती है। कीबोर्ड पहुंच के लिए, टाइप या अपलोड का चयन करें.
ड्राइंग मोड चयनित। चित्र बनाने के लिए माउस या टचपैड की आवश्यकता होती है। कीबोर्ड पहुंच के लिए, टाइप या अपलोड का चयन करें.

कॉपीराइट © 2023 - द्वारा पुनर्जन्म टैटू डिजाइनरजत

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