Medical Questionnaire

Do you have any medical conditions or history of:

• Bloodborne illnesses (e.g., HIV, Hepatitis)?

• Skin conditions (e.g., eczema, psoriasis) in the tattoo area?

• Diabetes, heart conditions, or other chronic conditions?

• Keloid scarring or other healing concerns?

  
  

By signing below, you confirm the following:

1. I am at least 18 years old and have provided a valid government-issued ID as proof of age.

2. I understand the risks associated with getting a tattoo, including the possibility of infection, allergic reactions, scarring, and discomfort.

3. I have disclosed all relevant medical information and understand that failure to do so may increase the risk of complications.

4. I will follow the aftercare instructions provided by my tattoo artist to ensure proper healing. I understand that improper care may result in complications or alterations to the tattoo's appearance.

5. I consent to have photos of my tattoo taken for the studio’s portfolio, website, and social media.

6. I understand that tattoos are permanent and that removal or modification may be difficult and costly. I am certain of my decision to get this tattoo.

7. I release Viper Pit Tattoo Studio and its artists from liability for any issues that may arise from the tattoo, including but not limited to infection, reaction, or dissatisfaction.

Client Declaration

I declare that I have read and understand the information provided on this form. I have answered all questions truthfully, and I agree to proceed with the tattoo under the terms stated above.

Please now pass your device to the member of staff to check, sign and submit your form