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Consent Form

Please fill out this form prior to your appointment. We look forward to seeing you!

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I am feeling well and healthy enough to be pierced. I will eat at least three hours before my appointment and I will not consume alcohol less than 12 hours before my appointment. During my appointment I will not be under the influence of drugs or alcohol.
I will not have more than three piercings in the healing process at the time of my appointment. If I do, I will communicate this with my piercer.
Are you currently taking blood thinners?
Have you been diagnosed with diabetes?
Have you been diagnosed with a keloiding condition?
Are you prone to fainting?
At the time of my appointment I will not be pregnant or breastfeeding.

Thank you! See you soon.

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