• Fine Line & Tiny Tattoo Consent Form

    @inkedbykarissa
  • Format: (000) 000-0000.
  • Date of Birth*
     - -
  • I acknowledge by signing this release that I have been given the full opportunity to ask any and all questions which I might have about obtaining tattoos from the Technician Karissa Lau and that all my questions have been answered to my full and total satisfaction.

  • Procedure to be performed: Fine line and tiny tattoo

  • I specifically acknowledge that i have been advised of the matters set forth below and agree as follows:

  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Medical History

  • Do you have any serious health condition/problems?*
  • Do you have any bloodborne pathogen diseases including but not limited to HIV/AIDS, Hepatitis?*
  • Do you have diabetes?*
  • Do you have a bleeding disorder?*
  • Do you have any allergies (ex: latex)*
  • Are you currently on any blood thinning prescription drugs?*
  • Please acknowledge the following:

  • Post-Procedure Aftercare

  • • Keep wrap on for 2-4 hours. Remove and wash and clean.
    • Always wash with cold water and clean with unscented soap thoroughly and gently.
    • Always apply a tattoo balm such as
    Hustle Butter after every wash.
    • Repeat these steps until the tattoo is fully healed. This may take 2-4 weeks.
    • Avoid tight clothes on the tattoo area such as bras and jeans
    • Avoid sun and dirty environments.
    • Avoid going to the pool and beach
    • Do not pick the scabs

  • Please acknowledge the following:

  • I certify that I have read and fully understand the contents of this form. I understand that this consent applies to all my future appointments. I understand the risks inherent in the procedure and have possibilities of complications during and/or following the procedures such as: infections, misplaced pigment, poor color retention and hyperpigmentation. I authorize the technician as my permanent cosmetic technician to perform on my body.

  • Todays Date:
     - -
  • Should be Empty: