Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Client Full Name *Client Email Address *Tattoo Description *briefly describe the tattoo you received, including the design, placement on the body (right or left side, etc.), and the location on the body.Tattoo / Design Review *I confirm that I had the opportunity to review my tattoo design before proceeding.Size, Placement & Orientation *I confirm that I had the opportunity to review the size, placement, orientation and positioning of my tattoo, and request adjustments before tattooing proceeded.Final Placement Approval *I confirm that I approved the final tattoo design and placement before tattooing proceeded. Tattoo / Finished Finished Tattoo Review *I confirm that I had the opportunity to inspect the completed tattoo and raise any concerns immediately after the appointment.Sanitation & Infection-Control Procedures *I acknowledge that I had the opportunity to observe or ask questions about the studio’s sanitation and infection-control procedures used during my appointment, including preparation of the workstation and appropriate single-use or sanitized equipment.Hand Hygiene *I acknowledge that I witnessed hand washing with use of hand sanitizer prior to putting on gloves during my appointment.Glove Changes *I acknowledge that gloves were removed/changed and hands were sanitized routinely where needed to access additional supplies not accessible on the work station.Aftercare *I confirm that I was provided with verbal and/or written information regarding tattoo aftercare and understand that I am responsible for following the aftercare instructions provided to me.Healing & Infection *I understand that tattoo healing varies from person to person and that the final healed appearance may differ from the appearance of the tattoo immediately after the appointment. If I experience symptoms that concern me or suspect an infection, I understand that I should seek appropriate medical attention.Questions / Clarification *I confirm that I had an opportunity to ask questions, raise concerns, and have anything clarified before completing my appointment.Final Satisfaction *I acknowledge that I had the opportunity to review the finished tattoo and communicate concerns immediately after the tattoo appointment.Additional Comments, Concerns or NotesAllow the client to document anything they wish to note about their appointment or completed tattoo.Client Acknowledgment *By submitting this form, I confirm that I have reviewed the information above, had an opportunity to ask questions and raise concerns, and that the information I have provided is accurate to the best of my knowledge.Date *Submit Acknowledgment