Tiny Tattoos Consent Form

  • Tiny Tattoos Consent Form

  • Date of Birth*
     - -
  • I consent to photographs of my tattoo being taken for documentation and possible use on ArtistryMK’s website or social media.*

  • MEDICAL HISTORY

    Please answer Yes or No and add details when applicable.
  • Do you have any chronic conditions (diabetes, autoimmune disorders, heart conditions, bleeding disorders, liver or kidney disease)?*
  • Do you have any allergies (ink, latex, adhesive, metals, lidocaine, medications)?*
  • Are you currently taking any blood thinners, antibiotics, steroids, or immunosuppressants?*
  • Do you have any skin conditions (eczema, psoriasis, rash, acne, keloids, sunburn, recent laser or chemical treatment)?*
  • Have you ever had Hepatitis A/B/C, HIV, MRSA, or any blood-borne infection?*
  • Are you currently pregnant or breastfeeding?*
  • Have you been ill or taken antibiotics within the past 2 weeks?*
  • Have you consumed alcohol or non-prescribed drugs within 24 hours before this appointment?*
  • Do you understand that alcohol and blood thinners can increase bleeding and affect results?*

  • LIABILITY & RELEASE 


    I release ArtistryMK from any liability for:
    • Infection or reaction resulting from my own aftercare negligence or undisclosed medical conditions
    • Allergic reactions to pigments or products
    • Pigment migration, fading, or variations in color due to skin type or healing
    • Any loss, injury, or damage arising from my decision to receive a tattoo

  • RISKS & ACKNOWLEDGEMENT 


    Tattooing involves puncturing the skin with needles to insert pigment. Possible risks include:

    • Bleeding, bruising, or infection if aftercare is not followed
    • Allergic reaction to ink or products
    • Scarring or keloid formation
    • Pigment migration or “blow-outs”
    • Uneven color retention or fading over time
    • Nerve irritation, tissue damage (rare)
    • MRI interference or temporary skin reaction in tattooed areas
    • Localized swelling or dizziness during the procedure

  • Tattoo Info

  • Is this a cover-up?*
  • Should be Empty: