Consent form

Tattoo Consent & Release Form

Tattoo Consent & Release Form

Laís de Oliveira — Symbolic Motif - Private Tattoo Studio

Consent & Release

I hereby give consent to Laís de Oliveira of Symbolic Motif - Private Tattoo Studio to perform a tattoo and in consideration of doing so, I hereby release the tattoo studio, and its employees and agents from all manner of liabilities, claims, actions and demands in law or in equity, which I or my heirs might now or hereafter by reason of complying with my request to be tattooed.

I fully understand that any employee or agent of this Tattoo Studio when performing a tattoo does not act in the capacity as a medical professional. The suggestions made by any employee or agent of this studio are just suggestions and are not to be construed as, or substituted for, advice from a medical professional.

I UNDERSTAND THAT I WILL BE TATTOOED USING appropriate techniques, instruments and pigments. To ensure proper healing of my tattoo, I agree to follow the tattoo aftercare instructions found on the website https://www.laistattooist.com.au. I understand that a tattoo may take two weeks or longer to heal properly.

I WILLINGLY SUBMIT TO THESE PROCEDURES with a full understanding of possible complications such as but not limited to infection, allergic reaction or rejection of the ink. Neither the artist nor the Tattoo Studio is responsible for the meaning or spelling of the symbol that I have provided to them or chosen from the flash design sheets.

I HAVE RECEIVED A COPY OF THE WRITTEN TATTOO AFTERCARE INSTRUCTIONS which I have read and fully understood and hereby assume full responsibility for aftercare and cleanliness. I understand that by having this tattoo performed that I am making a permanent change to my body and no claims have been made regarding the ability to undo the changes made.

I confirm I am 18 years of age or older.

Health Questions

Answering "Yes" to any of these questions does not necessarily preclude you from receiving a tattoo.

Have you eaten within the last four (4) hours?

Have you had any alcoholic beverages in the last eight (8) hours?

Have you taken aspirin, ibuprofen or blood thinners in the last twenty-four (24) hours?

Are you prone to heavy bleeding?

Are you prone to fainting?

Are you pregnant or breastfeeding?

Do you have high blood pressure?

Do you have a latex allergy?

Do you have any other known allergies?

Do you have any other conditions which might affect the healing of this tattoo?

Personal Details

Acknowledgement

I acknowledge that the sterilisation method used was explained to my full satisfaction. I had the opportunity to ask questions regarding this procedure. All questions were answered to my satisfaction. All equipment during the procedure was opened in front of me. I witnessed the disposal of the tattoo needle(s) into regulated sharps containers. Both written and verbal Tattoo Aftercare Instructions were provided to me. I have read this Tattoo Consent & Release Form and confirm that all the information I have given is correct. I understand that this is a release form and I agree to be legally bound by it.

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