Tattoo/PMU Consent Form

This form ensures that you understand the services being provided, potential risks, aftercare instructions, and your responsibilities as a client. Please read each section carefully and provide accurate information so we can deliver your service safely.

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Email *
Date Signed  *
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First, Last name *
Birthdate  *
Address
Emergency contact info *
Phone number 
What service are you receiving today? *
Are you pregnant or breastfeeding?
 *
Required
Do you have any known allergies? (ink, pigment, latex, lidocaine, adhesives, etc.)
 *
Do you have any of the following medical conditions? *
Required

Are you currently under a doctor’s care for any medical condition?

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Are you taking any of these medications?
 *
Required

Do you scar easily or form keloids?

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Have you had previous tattoo or PMU work in the area being serviced today?
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Do you understand that results vary depending on skin type, lifestyle, and aftercare?
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Do you acknowledge that you must follow all aftercare instructions for optimal healing?
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Do you understand that services are non-refundable?
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Do you consent to photos/videos being taken of the service area?
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Required
Do you understand that no children under 10 may be in the studio unattended?
 *
Do you understand that touching your phone/face/hair during the service can contaminate the area?
 *
I confirm all information provided is true and accurate to my knowledge.
 *
Required
I understand the risks of the procedure and consent to being serviced today.
 *
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