Laserfiche WebLink
I acknowledge that there is a chance I might feel lightheaded, dizzy during or after being tattooed. I <br />agree to immediately notify the practitioner in the event that I feel lightheaded, dizzy and/or faint <br />before, during or after the procedure. <br />I agree to follow all instructions concerning the care of my tattoo, and any touch ups needed because <br />of my own negligence will be done at my own expense. <br />Do you have diabetes? Herpes? Hemophilia or Cardiac Valve disease? If yes, Please discuss with your <br />artist. <br />Are you taking any medications? Recent medication use or antibiotics. If yes, Please discuss with your <br />artist. <br />I have read, understand and agree to the information provided above regarding telehealth. <br />Client Name* <br />Fi rst <br />Client Signature * <br />X <br />draw type <br />Valid Photo 1.11) <br />Upload or drag files here. <br />Please take a photo of a valid ID <br />Last <br />Date <br />6/28/2023 <br />Consent for photography and videos <br />R Yes No <br />Artist Name contact phone number <br />