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Cosmetic Tattoo Consent Form

Please choose from the options below and fill out your personal tattoo consent form. 

Are you under the influence of drugs or alcohol?
Are you pregnant or nursing?
Do you have any allergies?
Do you have any skin conditions?

Please tell about your medical history (e.g. Diabetes, Cardiovascular Disease, Epilepsy, Blood-related disease etc.)

Acknowledgement and Waiver


I understand that faux freckles is a form of semi permanent tattoo & can last anywhere between 6 months to 3 years +

I Understand

I understand that every bit of care has been taken to ensure this treatment will be carried out in a hygienic manner & aftercare is my sole responsibility.

I Understand

I understand that a reaction to the pigments is still possible even after the tattoo has healed.

I Understand

I understand that a reaction to the pigments is still possible even after the tattoo has healed.

I Consent

I confirm that the information I provided in this document is accurate and true.

I Confirm
*Check Junk Mail For Your Copy*
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