Repierce Request

Repierce Request

Peppermint Pediatrics
Repierce requests must be received within 2 weeks of the original piercing. If it has been more than 2 weeks, please contact me at info@peppermintpediatrics.com so we can discuss options!
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Name of person who was pierced, if different from above

First NameLast Name
Date of piercing
What was pierced?
In a few words, please describe what you'd like to change about the piercing:
Please allow 72 hours for a response. For urgent issues, please make a Troubleshooting Appointment or contact me at info@peppermintpediatrics.com.
Should be Empty: