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BODY ART CONSENT AND HEALTH DISCLOSURE FORM for TATTOOING AND PIERCING

Please fill out the form below when instructed to do so by Leah.

Do not fill out prior to appointment. 

BODY ART CONSENT AND HEALTH DISCLOSURE FORM for TATTOOING AND PIERCING

CLIENT INFO

Birthday
Month
Day
Year
Day of Procedure/Today's date
Month
Day
Year
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