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CosmeticTattoo.org Client Pre-Treatment Screening Questionnaire

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Which Cosmetic Tattoo Treatments Are You Planning On Having?

 

Eye-liner

Eyebrow

Lips

Areola

Scalp

Colour Matching
e.g. for vitiligo

Other Medical

Mesotherapy
including: skin needling/MCA

Absolute Preclusion Questions

Yes

 No

Medical Advice / Contraindication Questions

Yes

 No

Special Precautions Questions

Yes

 No

 

Comments

   
 

Disclaimer, Terms & Conditions: This questionnaire should only be regarded as a general guide & is not intended to replace medical advice or pre treatment health screening by a cosmetic tattooist, always consult with your medical practitioner before acting on any information in relation to any medical condition or health related circumstance. This form is provided 'as is' without any guarantees, warranties, or liability of any kind, use entirely your own risk. Your use of this form is strictly on the basis of your acceptance of the above terms and conditions.

 Copyright: CosmeticTattoo.org - 2013-2015 all rights reserved.

 Original Publication Date: 18/05/2013

 Most Recent Revision: 01/11/2015


CosmeticTattoo.org - 2013-2015 all rights reserved.