luxpmudevon
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This consent form is designed to inform you about the potential benefits, risks, and aftercare requirements of fine-line tattooing. Please read carefully before signing. Procedure Information 1. I understand this is a tattoo procedure using sterile, disposable needles and pigment. The artist follows high-level hygiene standards and sterile practice. 2. I understand this is a permanent tattoo, though fading can occur over time due to skin type, lifestyle, aftercare, and sun exposure. 3. I understand that the final result may vary based on: • Skin type / texture / tone • Placement on the body • Medications or medical conditions • Aftercare compliance • Lifestyle factors (smoking, sun exposure, skin treatments) 4. I understand fine-line tattoos are delicate and may age differently than bold tattoos, and may require touch-ups in the future. 5. I acknowledge that no guarantee can be made regarding line precision, retention, or longevity due to individual skin factors. 6. I understand that potential side effects include redness, swelling, tenderness, and mild bruising for several days. 7. I understand that uncommon risks include: • Infection • Allergic reactions to pigments • Scarring or keloids (rare) • Pigment migration or “blowout” 8. If infection or severe reaction occurs, I agree to seek medical attention. 9. I understand I must follow all aftercare instructions to maximise healing and results. 10. I agree that payment is due at the time of service and is non-refundable once the tattooing has begun. 11. I understand that a patch test is optional and does not guarantee I will not have an allergic reaction.
Are you pregnant / breastfeeding? NoYes
Do you suffer from blood disorders or clotting issues? NoYes
Do you suffer from heart condition? NoYes
Do you suffer from any of the following: Anaemia, Epilepsy, Seizures, Haemophilia? NoYes
Do you suffer from any of the following: Liver Disease, Kidney Disease, Hepatitis, HIV or AIDS? NoYes
Have you ever had a Stroke? NoYes
Do you suffer from Palpitations? NoYes
Do you suffer from High or Low Blood Pressure? NoYes
Do you suffer from Diabetes? NoYes
Do you suffer from Hormonal Changes? NoYes
Do you suffer from Thyroid Abnormalities? NoYes
Do you suffer from Tumours, Growths or Cysts? NoYes
Do you suffer from Alopecia? NoYes
Do you suffer from Hyperpigmentation? NoYes
Do you suffer from Psoriasis, Eczema, Dermatitis or other Skin Sensitivity? NoYes
Do you suffer from Hypertrophic or Keloid Scars? NoYes
Do you Bruise or Bleed Easily? NoYes
Do you suffer from Prolonged Bleeding or Healing Problems? NoYes
Do you suffer from any allergies? NoYes
Do you have other Tattoos? NoYes
Have you ever reacted to tattoo ink? NoYes
Do you have sensitivity to metals? NoYes
Do you smoke / vape? NoYes
Are you currently taking any antibiotics or medications? NoYes
Please provide details if you answered yes to any of the questions above:
By signing this document I confirm that I have read and understood the above consent form and provided true and accurate medical information to my best ability
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