Tattoo
Let us do this part
Today's Date:
Sun Apr 5 2026 08:03
Practitioner:*
Tattoo Location on Body:*
Tattoo Description:*
Occupation:
Please read and answer
Y
N
- Cold or flu-like symptoms
- Fever or high temperature
- Cough
- Sore throat
- Shortness of breath
- Loss or change in sense of smell or taste

Y
N
- Heart condition or angina
- Blood pressure problems
- Epilepsy or seizure disorders
- Haemophilia or other blood clotting disorders
- Skin conditions or skin complaints (including psoriasis, eczema, dermatitis, or similar)
- Diabetes
- Known allergic reactions or sensitivities
- History of fainting or blackouts
- Regular use of blood-thinning medication (including anticoagulants)
- Pregnancy or possibility of being pregnant
- Currently breastfeeding or nursing
Details: 

I confirm that, to the best of my knowledge, I do not have any medical condition that may affect the application or healing of a tattoo, or that I have disclosed any such condition to the Artist prior to treatment.

This includes, but is not limited to, conditions such as heart conditions, diabetes, epilepsy or seizure disorders, haemophilia or other blood clotting disorders, or the regular use of blood-thinning medication.

I confirm that if I have received an organ or bone marrow transplant, or if I am taking immunosuppressive or preventative medication, I have disclosed this information prior to treatment.

I confirm that I am not currently pregnant or breastfeeding.

I confirm that I have provided accurate and complete information regarding my health and understand that failure to disclose relevant information may increase the risk of complications.

Y
N
Do you have, or have you ever been diagnosed with, any bloodborne pathogens, transmissible diseases, or medical conditions that may increase the risk of infection or transmission during a tattoo procedure?
Details: 

I confirm that I am not attending my appointment under the influence of alcohol, drugs, medication, or any other substance that may impair my judgement or ability to give informed consent.

I confirm that I understand the nature, permanence, and risks of the tattoo procedure, including the aftercare requirements, and that I am able to make this decision for myself.

I confirm that I am choosing to proceed voluntarily and without pressure, duress, or coercion.

I understand that tattoo pigments and materials may, in rare cases, cause allergic or adverse reactions.

I understand that patch testing is a method sometimes used to assess sensitivity to pigments or materials, but that patch testing is not routinely required or standard practice for tattooing, and that adverse reactions may still occur even where a patch test has been carried out.

I confirm that a patch test has not been clinically indicated for my tattoo procedure and that I have chosen to proceed without patch testing after having the potential risks explained to me.

I understand that allergic or adverse reactions may occur during or after tattooing and that such reactions can occur even where appropriate care, hygiene, and professional standards are followed.

I confirm that I have been fully informed of the inherent risks associated with tattooing.

I understand that tattooing carries risks which may include, but are not limited to:

Infection

Scarring

Allergic or adverse reactions to tattoo pigments

Allergic reactions to latex gloves, soaps, or other materials used during the procedure

Difficulty in identifying changes to the skin, including melanoma, within tattooed areas

I acknowledge that not all risks can be predicted or eliminated, even when the procedure is carried out with proper care, hygiene, and professional standards.

Having had the opportunity to ask questions, and having those questions answered to my satisfaction, I confirm that I wish to proceed with the tattoo application and that I give my informed consent to do so.

I understand that a tattoo is a permanent change to my appearance.

I understand that tattoo removal is not guaranteed and may only be possible through procedures such as laser treatment or surgical intervention, which may be costly, time-consuming, uncomfortable, and may not fully restore the skin to its original condition.

I confirm that I have considered the permanent nature of tattooing and wish to proceed.

I understand that variations in colour, shading, and design may occur between the artwork or reference images selected and the final appearance of the tattoo once applied to the skin.

I understand that tattoos change over time and that colours, contrast, and fine detail may fade, soften, or alter due to factors such as:

Natural pigment dispersion

Skin type

Sun exposure

Ageing

The body’s healing process

I acknowledge that these changes are a normal and expected part of tattooing and do not indicate a fault with the work performed.

I confirm that I am responsible for the accuracy and meaning of any text, symbols, or designs that I have provided to the Artist.

I confirm that I will review the stencil, including spelling, layout, and placement, and that I must approve it as satisfactory before the tattooing process begins.

I understand that once the tattooing process has commenced, changes may not be possible.

I confirm that I have received, or have been directed to, clear aftercare instructions regarding the care of my tattoo during the healing process, including access to the aftercare guidance available via the studio website.

I confirm that I have had the opportunity to read and understand these instructions and that I agree to follow them.

I understand that tattooing involves a risk of infection or other complications, particularly where aftercare instructions are not followed or where healing is affected by factors beyond the control of the Artist or the Tattoo Studio.

I understand that if any touch-up work is required as a result of failure to follow aftercare instructions or my own actions during the healing process, such work may be chargeable.

I understand that the Artist reserves the right to refuse or stop treatment at any time if they believe it is not safe, appropriate, or in my best interests to proceed.

This may include, but is not limited to, concerns relating to health, capacity to consent, hygiene, behaviour, or safety.

I acknowledge that tattooing is a procedure which carries inherent risks and that outcomes may vary depending on individual skin type, aftercare, and other factors beyond the control of the Artist or the Tattoo Studio.

I confirm that I have received sufficient information about the procedure, the associated risks, and the aftercare requirements, and that I have had the opportunity to ask questions and have those questions answered to my satisfaction.

Nothing in this agreement is intended to exclude or restrict any liability which cannot be excluded or restricted under Scots law. Subject to this, I agree that the Artist and the Tattoo Studio shall not be responsible for complications or adverse outcomes arising from inherent risks of tattooing or from failure to follow aftercare instructions.

This agreement shall be governed by and construed in accordance with the law of Scotland.

The Scottish courts shall have exclusive jurisdiction to determine any dispute arising out of or in connection with this agreement.

I confirm that I have been given sufficient time to read and understand this document and that it has not been presented to me at the last minute.

I confirm that I have had the opportunity to ask questions about the tattoo procedure, the associated risks, and the aftercare requirements, and that any questions I have asked have been answered to my satisfaction.

I understand that this document records my informed consent to proceed with the tattoo procedure and sets out the terms under which the Artist and the Tattoo Studio provide their services.

Y
N
I understand that photographs or video recordings may be taken of my tattoo for portfolio, promotional, or marketing purposes.

I give my consent for photographs or recordings of my tattoo to be used by the Artist and the Tattoo Studio in print and electronic media, including websites and social media.

I understand that my consent is voluntary and that I may decline or withdraw consent for such use by advising the Artist.

If any provision, section, subsection, clause or phrase of this release is found to be unenforceable or invalid, that portion shall be severed from this contract. The remainder of this contract will then be construed as though the unenforceable portion had never been contained in this document.
Client Information
I hereby declare that I am of legal age (with valid proof of age) and am competent to sign this Agreement.
Name:*
Address:*
Postcode:
Date of birth:*
 
You must be 18 or older
Age: 
Phone #:*
Email:*
Signature:*

Photo Identification *
Please take photo(s) of your government issued photo IDs and related paperwork