Tattoo Intake Form 🌿✨
Please answer the following questions to get started with your tattoo appointment.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred location for your tattoo (i.e. arm, leg, ribs)
*
Color or Black and Grey?
*
Please have someone else take a picture of the area you want tattooed. Please make sure it is taken in a well-lit area and avoid taking the picture at an angle.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Tattoo Description (design, style, size, etc.)
*
Please include some inspo photos if you have them!
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Do you have any stretch marks, scars, moles, recent burns, skin conditions, or varicose veins in the area? Please be advised only healthy skin can be tattooed.
*
Do you have any allergies?
*
No
Yes (please specify below)
If yes, please specify below
Do you have any medical conditions we should be aware of?
*
No
Yes (see below)
Are you pregnant or breastfeeding?
*
No
Yes (see below)
If yes, please describe your medical conditions
Would you prefer Tuesday or Wednesday for your appointment?
*
Did anyone refer you to me?
Do you have any other questions for me?
Frequently Asked Questions
Submit
Should be Empty: