V with Love Consent Form
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The nature and method of the proposed fine line tattoo procedure has been explained to me as having the usual risks inherent in the procedure and the possibility of complications during and following its performance. I understand that there may be a certain amount of discomfort or pain associated with the procedure and that other possible adverse side effects may include: minor and temporary bleeding, bruising. redness or other discoloration andor swelling. Fading or loss of pigment may occur. Secondary infection in the area of the procedure is rare if properly cared for but may occasionally occur.
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I have read and understand the contents of each statement above. I acknowledge that this is a contract and that I have received no warranties or guarantees with respect to the benefits to be realized from, or consequences of the before mentioned procedure(s). I further acknowledge that at the time of signing this consent I am of sound mind and capable of making independent decisions for myself. The information provided on this form is accurate and complete to the best of my knowledge, and that my practitioner is not responsible for complications or problems arising from any incorrect or omitted information.
AFTERCARE INSTRUCTIONS: Leave protective bandage on for 3-5 days. After the 3-5 days, remove the bandage using clean hands, antibacterial soap and warm water. Pat dry with clean paper towel and apply healing ointment. Repeat the washing and ointment morning and night for two weeks. Avoid soaking the tattoo in water for 3 weeks. Avoid direct sunlight for 3 weeks. After the 3 weeks, you can carry on as regular with lotions, exfoliants and sunscreens. Should there be any abnormal swelling or sign of infection, please consult a physician at the first sign of infection. I HAVE READ AND UNDERSTAND THE AFTERCARE INSTRUCTIONS. I ACCEPT THAT FAILURE TO FOLLOW THE POST-PROCEDURE INSTRUCTIONS MAY RESULT IN A LOSS OR DISCOLORATION OF PIGMENT RESULTING IN A NEED FOR MORE FREQUENT TOUCHUPS. NO GUARANTEES, NO REFUNDS.
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Artist Information
Vivienne Stephanie — V with Love Tattoo | 813-595-8447 | 1617 W Platt St 201 , Tampa , Fl 33609
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