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Lip Tattooing - Online Consult

Hi there, please fill out and submit this form.
  • 1
    Note - selecting 'yes' will not rule you out of having this process done. A preventative medication is required.
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  • 2
    All forms of smoking apply.
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  • 3
    Select ALL that apply.
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  • 4
    Please select ALL that apply. Not all of these boxes rule a client out of tattooing. It may just require a date reschedule or a discussion about how we can make you eligible for this procedure.
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  • 5
    The pill, anxiety/depression meds. blood thinners, pain medication, fish or krill oil etc.
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  • 6
    Heart concerns, blood disorders, communicable diseases, healing problems, ANY allergies etc.
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  • 7
    Anything relating to the service and what's involved, health conditions, policies or how it works!
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  • 8
    Select ALL that apply.
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  • 9
    Please ensure this photo is clear, shows the lips, no filters and no makeup. If you have prior tattooing please ensure this is visible. Multiple angles are encouraged.
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    Select files to upload
    Max. file size: 10.6MB
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  • 10
    We will only use these details to get in contact with you regarding your eligibility for this service.
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