Voluntary Consent: I am voluntarily consenting to the body modification procedure(s) listed above. My decision is free from coercion or undue influence.
Information and Explanation: I have been provided with clear and understandable information about the procedure(s) I am requesting, including but not limited to:
The nature of the procedure(s) and the techniques involved.
The materials and equipment to be used (e.g., metal types for piercings, types of aesthetic treatments).
The expected results and potential limitations of the procedure(s).
The associated risks and potential complications, including but not limited to:
Piercings: Infection, bleeding, swelling, pain, allergic reactions, scarring, keloid formation, nerve damage, rejection, migration
Aesthetic Treatments: (Examples - please customize based on your services) Redness, swelling, bruising, pain, infection, allergic reactions, scarring, hyperpigmentation, hypopigmentation, nerve damage, unsatisfactory results.
The aftercare instructions and my responsibility in following them for proper healing and to minimize risks.
The healing time and potential discomfort associated with the procedure(s).
The cost of the procedure(s).
Questions and Understanding: I have had the opportunity to ask questions about the procedure(s), and all my questions have been answered to my satisfaction. I fully understand the information provided to me.
Medical Conditions and Allergies: I have informed the practitioner of all known medical conditions, allergies, medications I am currently taking, and any prior adverse reactions to body modifications or aesthetic treatments. I understand that it is my responsibility to provide accurate and complete information.
Please list any relevant medical conditions, allergies, or medications:
Right to Refuse: I understand that I have the right to refuse or withdraw my consent at any time prior to the commencement of the procedure(s).
Photographic Documentation: I understand that Nathan Hamilton Tattoo Gallery may take photographs or videos for documentation, training, or promotional purposes. My identity will/will not be disclosed in these materials. (Please choose one and elaborate if necessary).
☐ I consent to the use of my image for these purposes.
☐ I do not consent to the use of my image for these purposes.
Release of Liability: To the fullest extent permitted by law, I hereby release and hold harmless [YOUR STUDIO/PRACTICE NAME], its owners, employees, and agents from any and all claims, demands, actions, causes of action, damages, losses, expenses, and liabilities of any kind or nature, whether known or unknown, arising out of or in any way 1 connected with the body modification procedure(s) I am receiving today, provided that such loss or damage is not caused by the gross negligence or willful misconduct of [YOUR STUDIO/PRACTICE NAME], its owners, employees, or agents.
Aftercare Responsibility: I understand that the success and healing of my body modification depends significantly on my adherence to the aftercare instructions provided by the practitioner. I acknowledge that I am responsible for following these instructions diligently.
No Guarantees: I understand that there are no guarantees regarding the final outcome of the procedure(s), and results can vary.
Age Verification: I confirm that I am at least 18 years of age and legally competent to consent to this procedure. If I am under 18, I have provided valid parental/guardian consent (if applicable and permitted by law).
