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Tattoo Client Intake

Please complete before your appointment. Bring photo ID - we check it every time.

Full name* (required)Date of birth* (required)Email address* (required)Mobile number* (required)Address* (required)Emergency contact - name and number

Health

Do any of these apply?* (required)

Bleeding or clotting disorder Diabetes Epilepsy Heart condition or valve problem High or low blood pressure Hepatitis HIV Immune condition Keloid scarring Skin condition - eczema, psoriasis Currently pregnant Breastfeeding None of these

Details of anything tickedAll medication and supplements* (required)Allergies* (required)Have you ever fainted during a tattoo, piercing or blood test?* (required)

Your skin and history

Do you have tattoos already?* (required)How have previous tattoos healed?* (required)Tell us more

At the area being tattooed, is there any of these?* (required)

A mole or freckle A scar Stretch marks Sunburn or tan A rash or broken skin None of these

Recent sun exposure or sunbed use on that area?* (required)

Before your appointment

Please eat a proper meal beforehand, drink water, and don't drink alcohol the night before or on the day. Alcohol thins the blood, and a tattoo on someone who hasn't eaten usually ends with a break or a cancelled session.

I'll eat before my appointment* (required)

I won't drink alcohol beforehand* (required)

I'll bring photo ID* (required)

The information above is accurate and I'll tell you if anything changes* (required)

Leave this field empty