tattoo consent form example

Professional Tattoo Procedure Informed Consent and Release of Liability

Instructions for Use

• Print this document in its entirety and ensure all sections are completed in blue or black ink before the commencement of any procedure.
• The client must initial every numbered clause to verify they have read, understood, and agreed to the specific terms outlined.
• Maintain the signed original in the client’s permanent file and provide a copy to the client for their personal records.

Parties and Definitions

This Agreement is entered into by and between [Studio Name], located at [Studio Address] ("Studio"), and [Client Full Legal Name], residing at [Client Address] ("Client"), on this [Day] day of [Month], [Year].

Operative Terms

1. Informed Consent: I, the Client, acknowledge that I have been fully informed of the inherent risks of tattooing, including but not limited to: infection, scarring, allergic reactions to pigments/dyes, and the possibility of unsatisfactory aesthetic results. [Initial: ____]

2. Medical Disclosure: I certify that I am over the age of [18/Age of Majority], am not under the influence of drugs or alcohol, and do not suffer from any medical conditions (including, but not limited to, hemophilia, diabetes, or blood-borne diseases) that would interfere with the healing process. [Initial: ____]

3. Design Approval: I have reviewed the design, spelling, placement, and size of the tattoo. I acknowledge that once the stencil is applied and the procedure begins, the Studio is not responsible for changes requested after the fact. [Initial: ____]

4. Aftercare Compliance: I agree to follow all provided aftercare instructions. I understand that improper aftercare, including exposure to direct sunlight, swimming, or failure to keep the area clean, may result in infection or color loss. [Initial: ____]

5. Assumption of Risk and Release: I hereby release [Studio Name], its owners, and its employees from any and all liability, claims, or demands arising from the procedure, provided that the Studio has adhered to standard sanitary and safety protocols. [Initial: ____]

6. Photography/Media: [ ] I grant [ ] I do not grant permission for the Studio to take photographs of my tattoo for social media or portfolio use. [Initial: ____]

Signature and Acknowledgment

By signing below, I confirm that I have read this document in its entirety, I understand its contents, and I am signing it voluntarily.

Client Signature: __________ Printed Name: [Full Legal Name] Date: [Date]

Artist/Witness Signature: __________ Printed Name: [Artist Name] Title: [Professional Title] Date: [Date]

Legal Disclaimer: This document is a general framework and does not constitute formal legal advice. Laws regarding tattooing, age of consent, and liability waivers vary significantly by state and local jurisdiction. You must consult with qualified legal counsel to ensure this document complies with all applicable health department regulations and state laws in your specific area.