I agree to follow all instructions concerning the care of my tattoo,
and that any touch-ups needed due to my own negligence will be done at my
I understand that there is a chance I might feel lightheaded, dizzy
Do you have any other medical or skin conditions that affect the outcome of your procedure?
during or after being tattooed. I agree to immediately notify the artist in the event I feel lightheaded, dizzy and/or faint before, during or after the procedure.
Have you ever been prescribed antibiotics prior to dental or surgical procedures?
Do you have any cardiac valve disease?
Is there any information you feel you should provide to the body art practitioner?
(print name) have been fully informed of the risks of body art including but not limited to infection, scarring, difficulties in detecting melanoma, and allergic reactions to tattoo pigment, latex gloves, and antibiotics. Having been informed of the potential risks associated with a body art procedure, / still wish to proceed with the body art application and / assume any and all risks that may arise from body