Tattoo Consent Form | Aesthetics Forms Portal

Tattoo Consent Form - Epic Tattoos

Client Details

Full Name: *

Date of Birth: *

Contact Number: *

Email: *

Tattoo Artist *

It is illegal to tattoo any person under 18 years of age, whether or not they have their parents' permission.

Please remember to bring proof-of-age documentation with you on the day of your appointment or we will not be able to proceed with a tattoo.

Medical History

Are you currently taking any medications? *

Please list: *

Do you have any allergies? *

Please list: *

Do any of the following apply to you? Please tick all that apply.

Do you have any other medical conditions? *

Please list: *

Have you recently been unwell? *

Which of the following were you unwell with? *

Please provide more detail: *

Emergency Contact Details

Emergency Contact Name: *

Emergency Contact Phone: *

Emergency Contact Relationship: *

Potential Risks and Side Effects

Tattoos breach the skin, which means that skin infections and other complications are possible. The risks associated with getting a tattoo include, but are not limited to, the following:

Allergic reactions. Tattoo dyes — especially red, green, yellow and blue dyes — can cause allergic skin reactions, such as an itchy rash at the tattoo site. This can occur even years after you get the tattoo.
Skin infections. A skin infection is possible after tattooing.
Other skin problems. Sometimes an area of inflammation called a granuloma can form around tattoo ink. Tattooing also can lead to keloids — raised areas caused by an overgrowth of scar tissue.
Difficulty detecting melanoma. Tattooing over a mole makes it harder to detect skin damage, especially skin cancers like melanoma.
MRI complications. Rarely, tattoos or permanent makeup might cause swelling or burning in the affected areas during magnetic resonance imaging (MRI) exams. In some cases, tattoo pigments can interfere with the quality of the image.

Medication or other treatment might be needed if you experience an allergic reaction to the tattoo ink or you develop an infection or other skin problem near a tattoo. Please seek medical advice immediately if you are worried about any of your symptoms after obtaining a tattoo.

Please read the statement carefully and tick to show your agreement. *

I have been fully informed of the risks of tattooing. Having been informed of the potential risks associated with getting a tattoo I still wish to proceed with tattoo application and I assume any and all risks that may arise from tattooing.

Consent

I acknowledge that I have truthfully represented to the Tattooist that I am over 18 years of age.

I acknowledge that that the Tattooist might take pictures and videos of the tattoo I received for social media purposes.

I ackowledge that the Tattoo Studio has a NO REFUND policy on tattoos, piercing and/or retail sales and I will not ask for a refund for any reason whatsoever

I acknowledge that I am not under the influence of alcohol or drugs, and I am voluntarily submitting to be tattooed by the Tattoo Studio without duress or coercion

I acknowledge it is not reasonably possible for the Tattooist to determine whether I might have an allergic reaction to the dyes / pigments or processes used in my tattoo and I agree to accept that such risks are possible.

I acknowledge that infection is always possible as a result of obtaining a tattoo particularly in the event that I do not take proper care of my tattoo and I have been advised of the signs and symptoms of infection that indicate a need to seek medical care.

I agree to follow all instructions concerning the care of my tattoo and that any touch-ups needed because of my own negligence will be done at my own expense.

I acknowledge that variations in colour and design may exist between any tattoos as selected by me and as ultimately applied to my body.

I acknowledge that there is a chance I might feel lightheaded/dizzy during or after being tattooed. I agree to immediately notify the Tattooist in the event I feel lightheaded/dizzy at any time.

I acknowledge that tattooing is a permanent change to my appearance and that no representations have been made to me as to the ability to later change/alter or remove my tattoo.

I agree to reimburse the Tattoo Studio for any attorneys' fees and costs incurred in any legal action I bring against the Tattoo Studio and in which either the Artist of the Tattoo Studio is the prevailing party. I agree that the courts of located in the County of Guildford within the State of shall have jurisdiction and venue over me and shall have exclusive jurisdiction for the purposes of litigating
any dispute arising out of or related to this agreement

I acknowledge that the obtaining of my tattoo is my choice alone and I consent to the application of the tattoo and to any actions or conduct of the Tattooist that are reasonably necessary to perform the tattoo procedure.

Any questions I had about the tattoo procedure have been answered to my satisfaction.

Client Signature: *

Tap or click on the signature above to sign

Data Protection and Privacy

We are committed to protecting your privacy. We take special precautions with your sensitive personal data and we will process your data lawfully and as described. We only process the data we need for as long as we need to and we respect all of your rights under GDPR. We will never sell, share or otherwise abuse your data. You can contact us at any time to request your data, change your preferences or request that your data be deleted. GDPR is the European privacy law designed to protect you and give you control of your data.