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POSSIBLE RISKS, HAZARDS OR COMPLICATIONS FOR TATTOOS <br /> Pain: There %vill be some discomfort or pain given the nature of the procedure. Numbing <br /> gel may be used if ciient desires. However, anesthetics work better an scme people <br /> than others. <br /> Infect on: Infection is very unusual. The areas treated must be kept clean an only freshly <br /> cleaned hands shou d touch the areas. See "After Care" sheet for iristruc+-ions on care. <br /> Uneven Pigmentation: This can result from poor, healing, infections, bleacling or many <br /> other causes. Your fDilcw up appointment will likely correct any uneven appearance. <br /> • Excessive Swelling or Bruising, Some people bruise and sw--!,' more that otters, 1--- <br /> packs may heLn and the bruising and swelling typically disappea!rs vvi-h 1 A;w­, c.nmcn <br /> F--_p:•_ -__n bruise or swell at a11. <br /> • Anesthesia: Fast acting anesthetics are used to numb the areato be tattooed. Lidocaine, <br /> I I- L <br /> Pinlocalne, Benzocaine, Tetracaine, and Epinephrine in a cream or gel form are typically <br /> used. f you are allergic to any of these please inform 11r, nokAi. <br /> + e 4- 0 <br /> • MR! F-ecause nigm,-5ntrz used in permanent cosmetic prOced...e s c on,L a-1, n r L xi d e S, C-1 <br /> U L <br /> luow-'-�!el rriag,�%-zt may Le requ'ed " you nee` to be ay 11AARI mac' <br /> D Y nine. You <br /> must inform yojr technician of any tattoos r permanent cosmetics. <br /> • COVID 19 Vaccine: If you got your, Covid Vaccine within 2 weeks prior to yon <br /> appointment, please reschedule as, there is a high probability that vou will get an <br /> infection after the procedure. <br /> • Allergic Reac-.io-i: there is a small possibility of an allergic reaction to color pigments <br /> especially red inks. Just because you have had prior red tattoos does not 'nean you are <br /> not su.3-Cleptit,le to an allpreic reartion- niffprpnt hrnnrl rpri inL-c rnn --apocp Ai4prpn+ <br /> reactions. You may take a patch test to determine this at least 2 weeks orior. <br /> Please initial for patch test to: Waive orTake <br /> Name: Signature: Date: <br />