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Pneeluf7 <br /> - <br /> AlfonsoAra0Mbula [EH] <br /> From: A|fonooAnannbu|o [EH] <br /> Sent: Thursday, December 13. 2O122:3OPK8 <br /> To: iosazunifa' <br /> Subject: RE:jose from the black rose tattoo parlor <br /> Hello Jose, <br /> The please make the following corrections on the forms provided Tuesday December 11, 2012. <br /> Minor Consent bo Pierce & Ra|aaaa of Claims: <br /> #4-Include inthe question ifthe client ioallergic hoantibiotics. <br /> #8-Ask if the client has a history of medication use or is currently using medication, including being <br /> prescribed antibiotics prior bzdental orsurgical procedures. <br /> Include a question if the client has HIV, Hepatitis B, Hepatitis C, or any other blood borne pathogen. <br /> Consent to Pierce& Release of Claims <br /> #4-Include inthis question - |fthe client ieallergic toantibiotics. <br /> #8 -Ask if the client has a history of medication use or is currently using medication, including being <br /> prescribed antibiotics prior todental orsurgical procedures <br /> Ask if the client has HIV, Hepatitis B, Hepatitis C, or any other blood borne pathogen. <br /> Suggested Aftercare Guidelines for Body Pionoings <br /> This form must include Signs and Symptoms ofinfection, including but not limited to, rodneaa, nvvo||ing, <br /> tenderness of the procedure site, red streaks going from the procedure site towards the heart, elevated <br /> body temperature, orpurulent drainage from the procedure site. The form must also include signs and <br /> symptoms that indicate the need toseek medical care. <br /> Aftercare ofyour Tattoo <br /> This form must include Signs and Symptoms ofinfection, including but not limited to, nadn000, ewo||ing, <br /> tenderness of the procedure site, red streaks going from the procedure site towards the heart, elevated <br /> body temperature, orpurulent drainage from the procedure site. <br /> Consent bzTattoo Procedure <br /> #4- Include inthe question ifthe client ieallergic boantibiotics. <br /> Ask if the Client has a history of medication use or is currently using medication, including being <br /> prescribed antibiotics prior bodental orsurgical procedures. <br /> Ask if the client has HIV, Hepatitis B, Hepatitis C, or any other blood borne pathogen. <br /> Please make these corrective actions and re-submit the forms for review. <br /> Thank you, <br /> Alfonso Araonbnlu, SrREDS <br /> San Joaquin County <br /> Environmental Health Department <br /> 18G8E. Hazelton Ave Stockton, CA05205 <br /> Email: (209)468-9673 <br /> EHOVVebsite: Fax(2OS)4G8'83Q2 <br /> From:jmsezunifa [mai|to:orkmoyro@yahom.com] <br /> Sent: Tuesday, December 11, 2O134:18PyVI <br /> To: A!fonooAnarnbu|m [EH] <br /> Subject: Fw: jose from the black rose tattoo parlor <br /> -----Forwarded Message--- <br /> }/7/20l3 <br />