HS
Tattoo

Client Consent & Health Form

Please complete this form in full before your appointment

01

Choose your artist

Select who you have an appointment with.

02

Your details

We’ll use this to keep in touch about your appointment and aftercare.

You must be 18 or over — ID will be checked on the day.
03

Health screening

Please answer honestly — this is for your safety. Anything you share is kept confidential. Select “Yes” and add detail if a follow-up box appears.

Are you currently pregnant or breastfeeding?
Do you have any skin conditions (eczema, psoriasis, keloid scarring, etc.)?
Do you have any known allergies (latex, nickel, tattoo ink/dyes, adhesives)?
Do you have a blood condition (haemophilia, anaemia) or are you diabetic?
Do you have a heart condition, epilepsy, or history of fainting?
Are you currently taking any medication, including blood thinners?
Have you consumed alcohol or recreational drugs in the last 24 hours?
04

Consent & acknowledgments

Please read each statement carefully and tick to confirm you understand and agree.

05

Signature

Type your full name below to sign this form electronically.

By typing your name, you agree this acts as your legal signature on this form.
All fields marked * are required.
Ages 18+ only — ID required  ·  HighSpire Tattoo, 60 Green Ln, Derby DE1 1RS