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AFTERCARE INSTRUCTIONS <br /> The following verbal and/or written instructions were communicated to the client: <br /> 1. Information on the care of the procedure site. (Please see attached pages for information) <br /> 2. Restrictions on physical activities such as bathing,recreational water activities,gardening, or contact with animals,and E <br /> the duration of the restrictions. O <br /> 3. Signs and symptoms of infection including but not limited to redness, swelling,tenderness of the procedure site, red <br /> streaks going from the procedure site towards the heart, elevated body temperature, or purulent drainage from the <br /> procedure site. N <br /> rn <br /> 4. Instructions to seek medical attention, call a physician if any of the addressed signs and symptoms of C <br /> infection appear or for any other reason related to the Body Art procedure(s) O <br /> U <br /> 5. If physician care is required by the client related to the Body Art procedure(s), the client is to notify the Body Art facility D <br /> IZ— <br /> and practitioner of the problem and the resolution by a physician or clinic. This information shall be placed in the <br /> client's file. O <br /> 70 <br /> acknowledge that i will be responsible to seek medical care from a physician or doctor if any symptoms arise while the tattoo N <br /> appears to be infected, swollen, redness appearance,tenderness or painful to the touch. I will reach out to the artist first for any U <br /> concerns that are NOT life threatening I understand scabbing is a natural process in healing and I will not pick at the scab. This <br /> may lead to an infection if wound is re-exposed and delay the healing time. <br /> I WILL SEEK MEDICAL ADVICE FROM A LICENSED PHYSICIAN IF ANY OF THE ABOVE SYMPTOMS ARISE AND SHOW <br /> SIGNS OF INFECTION <br /> C <br /> I have received aftercare instructions: <br /> C <br /> Client Signature: Date: N <br /> Y <br /> M <br /> COMMENTS: <br /> N <br /> to <br /> E <br /> For Additional Visits of Client:Aftercare has been re-explained and new instructions have been provided. <br /> 11 No changes in medical history and informed consent W <br /> C <br /> Printed Client Name: Signature of Client: Date: <br /> U <br /> 4- <br /> ❑ No changes in medical history and informed consent O <br /> O <br /> Printed Client Name: Signature of Client: Date: .I_- <br /> 0- <br /> El Q <br /> No changes in medical history and informed consent <br /> Printed Client Name: Signature of Client: Date: <br /> PLEASE SEE ATTACHED PAGES <br /> FOR AFTERCARE INSTRUCTIONS <br /> ****************************************** <br />