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TATTOO CONSENT FORM

Before filling out the form below please show the reception team your photo ID.

Please fill this form out ON THE DAY of your appointment
(no earlier)

Please read the questions below carefully
Do you have any skin conditions? (Select all that apply) Required
Do you suffer from any of the following conditions? (Select all that apply) Required
Do you have any allergies? (e.g. latex/adhesives/nuts/dye pigments) Required
Are you on any prescribed medication, antibiotics or blood thinning medication (e.g. Aspirin)? Required
Are you prone to fainting? Required

A D D R E S S

8 Windsor Street

Chertsey, KT16 8AS

E M A I L

H O U R S

Tuesday-Saturday

11:00-18:00

C O N N E C T

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