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Consultation

Let us do this part
Today's Date:
Sat Jul 12 2025 03:15
Practitioner:*
Please read and answer
Before your appointment
I understand that I need to eat at least 2 hours before getting my piercing and stay hydrated. I understand that Getting pierced is a trauma to the body and I need to have eaten for energy to sustain that trauma. I understand that I may become unwell or faint, if I have not eaten and I cannot get pierced.
Potential risks
I have discussed and I fully understand any risks, known and unknown, that can lead to injury or trauma following a piercing, including but not limited to infection, scarring, keloiding, swelling, irritation and allergic reactions. Having been informed of the potential risks associated with getting a piercing, I still wish to proceed with the piercing and I freely accept all risks that may arise from piercing.
Aftercare
I affirm that I have been told about and will be given verbal and written instructions on the care of my piercing while its healing, and I understand them and will follow them. I acknowledge that it is possible that the piercing can become infected, particularly if I do not follow the instructions. I understand that once I leave the piercing studio, I am solely responsible for the care of my piercing. I have been offered a recommended aftercare solution and that should I choose not to use it then I do so at my own risk. I understand that the use of any other cleaning or aftercare solution that has NOT been recommended or advised against by my piercer could result in the piercing becoming irritated, sore, rejected or infected. You agree that Should you have any issues or concerns with your piercing at any point during the healing process, then you will contact your piercer (Rhian) first for advice. You agree that should you choose not to seek my advice/help first and foremost (excludes professional medical help) and you choose to go to another piercer/studio for help/advice, resulting in you having to pay any additional fees to them for services, products or piercings, then you will not be reimbursed nor compensated in the form of any money, credit, gift vouchers, services, re-piercing or products by any member or owner at Mrs Ms Tattoos & piercings or piercings by Rhian
Permanent changes
I acknowledge that the piercing will result in a permanent change to my appearance and that my skin may not be restored to its pre-piercing condition even after its removal.
Medical conditions & medications
I have discussed any medical conditions I have and have disclosed any medications that i take, that may pose a risk to myself when getting pierced and if necessary, I will get a doctors note to make sure it's safe to be pierced. I do not have any other medical or skin conditions that may interfere with the procedure or healing of the piercing. I do not have any conditions that may put my health at risk. I am not the recipient of an organ or bone marrow transplant or, if I am, I have taken the prescribed preventive regimen of anti-biotics that is required by my doctor in advance to clear me as safe of any invasive procedure such as piercing. I am not pregnant or nursing.
Duress
I affirm that I will not be under the influence of alcohol or illegal drugs, and I am voluntarily getting a piercing without duress. I understand that if I am under the influence of any contraband at the time of piercing, the piercer will refuse to undertake the piercing.
Cooling off period
I have been offered a 24 hour cooling of period in order for me to fully consider all implications and risks of getting pierced.
Terms & conditions
I have read, agreed to and fully understand the studios/piercers Terms & conditions.
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 or, if not, that my parent or legal guardian shall sign on my behalf, and that my parent or legal guardian is in complete understanding and concurrence with this agreement.
Name:*
Address:
Postcode:
Date of birth:*
If you are under 16 your parent/guardian will be required
Phone #:
Email:*
Signature:*


Photo ID
Please take photo(s) of your government issued photo IDs and related paperwork.