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iercing Contract <br /> 12. 1 will disclose any information ilia or bleeding disorders- <br /> 119303 (b)2_ <br /> 13. 1 will disclose any history of cardiacvalvedisease-119303 ( ) <br /> . Current medications you are . - ( ) <br /> 15. 1 will disclose all requirements i itics prior to surgery or <br /> dental procedures-119303 O _ <br /> 16. 1 will disclose any other risk factors for bloodore pathogens- <br /> 119303 (b)4_ <br /> 17. 1 agree to assume the risk of possibleinjury, allergic reaction or <br /> disease that may occur as a result of thisprocedure Y / <br /> 18. This procedure on your skin is not permanent, it could cause a scare. <br /> Is that ok withyou? <br /> -119303 ( ) 3 Y / <br /> 19. 1 understand the success of my Piercingends not only upon the <br /> skill of the technician, but upon the aftercare1 give myself. Upon <br /> receiving written and oral instructions y piercing aftercarefrom <br /> the technician and leave the shop, I am fullyresponsible for it's care. <br /> . 1 understand that healing time ers person Y / <br />