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Tattoo Release Form

Please fill out the following form on the day of your appointment in order to get tattooed

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Are you suffering from any heart conditions?
Diabetic
Hemophiliac
Have Epilepsy
Have you ever tested positive for HIV/AIDS?
Have you been diagnosed with Hepatitis?
Prone to seizures?
Diagnosed with blood disorders?
Are you currently taking any blood thinners?
FEMALES: Are you pregnant or breastfeeding?
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