Consent Form

Please complete this form honestly and in full. A copy will be sent to the studio for your appointment file.

Personal Information
Emergency Contact
Health Disclosure

Please answer all questions honestly. This information is kept strictly confidential and used only to ensure your safety.

Are you currently pregnant or breastfeeding?

Do you have a bleeding disorder or take blood thinners (e.g. Warfarin, Aspirin, Heparin)?

Do you have diabetes?

Do you have any skin conditions (e.g. eczema, psoriasis, keloid scarring, rosacea)?

Do you have known allergies to latex, ink, numbing agents, or metal?

Are you currently taking any prescription or over-the-counter medications?

Have you consumed alcohol or recreational substances in the last 24 hours?

Tattoo Details
Consent & Agreement
TATTOO CONSENT & RELEASE FORM — Beauty Within Ink

AGE & IDENTIFICATION
I confirm that I am 18 years of age or older and am legally able to consent to tattooing in my jurisdiction.

MEDICAL DISCLOSURE
I have truthfully disclosed all relevant medical conditions, current medications, and known allergies. I understand that undisclosed conditions may affect the safety or outcome of my tattoo.

INHERENT RISKS
I acknowledge that tattooing involves inherent risks including, but not limited to: infection, scarring (including keloid scarring), allergic reactions to ink or equipment materials, and unsatisfactory results due to skin type or healing.

PERMANENCE
I understand that tattoos are permanent. Laser removal is costly, painful, and may be incomplete. I have carefully considered my design and placement.

AFTERCARE RESPONSIBILITY
I agree to follow all aftercare instructions provided by my artist. I understand that failure to do so may result in poor healing, infection, or damage to the tattoo. Aftercare-related outcomes are my responsibility.

ARTISTIC REPRESENTATION
I understand that slight variations from any reference image are normal and part of the artistic process. The completed tattoo is an original work of art by my artist.

PHOTOGRAPHY & PORTFOLIO
I grant Beauty Within Ink permission to photograph the completed tattoo for portfolio, social media, and promotional use. My personal identifying information will not be shared.

RELEASE OF LIABILITY
By signing below, I release and discharge Beauty Within Ink and the artist from any and all claims, demands, or causes of action arising from the tattooing procedure, provided that reasonable professional care has been exercised.

I have read, understood, and voluntarily agree to the above terms.
Digital Signature

Type your full legal name below as your digital signature. By doing so you confirm that all information provided is accurate and that you agree to the terms above.

By submitting this form you confirm that all information is accurate and that you have read and agreed to the consent terms above.