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.

CCTV IN OPERATION

For the safety of staff, clients, and studio property, CCTV is in use throughout the premises, including treatment rooms.

• No audio recording is in use.

• Cameras in treatment rooms can be switched off upon request.

• Footage is stored securely for up to 30 days and only accessed by authorized personnel.

• We comply with UK GDPR and Data Protection Act 2018.

By signing below, you acknowledge the use of CCTV and agree to the terms.

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