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​Health Declaration & Consent Form

Please fill out the following form before arriving to your Tattoo Appointment.

 

All of your medical information is confidential under HIPAA regulations and will not be disclosed to anyone other than relevant shop staff and artists. If you have any questions on how certain medical conditions can affect tattoos, please speak with your artist prior to your session. 

Upload Picture of Photo ID
Upload supported file (Max 15MB)
Please select any of the following that apply: Required
Do you have or have you ever had: (check all that apply) Required
By checking each box you are acknowledging that you have been advised of the facts and matters set forth below, and agree to the following: Required
Which one of our artists if your appointment with today? Required

It takes a few moments for the form to submit. 

Successfully Submitted!

© 2025 by Under the Sun Tattoo

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