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How long has it been since you last ate? <br /> Do you have any additional allergies to metals, soaps,cosmetics or alcohol? <br /> Do you use any medications that might affect the healing of the body art you wish <br /> to receive? <br /> Do you have any other medical or skin conditions that affect the outcome of your <br /> procedure? <br /> Have you ever been prescribed antibiotics prior to dental or surgical procedures? <br /> Do you have any cardiac valve disease? <br /> Is there any information you feel you should provide to the body art practitioner? <br /> Other medical conditions? <br /> THE INFORMATION <br /> NO TION I HAVE PROVIDED IS COMPLETE AND TRUE T <br /> TBE LL'ST Oi' KNOWLEDGE: <br /> CLIENT SIGAT <br /> DA <br /> NEW LIFE TATTOO STUDIO <br /> 3414 DELAWARE AVE <br /> STOCKTON,GA 95204 <br /> (209)405-8951 <br />