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TATTOO CONSENT FORM

Please read this page carefully and fill out the form to proceed with your tattoo procedure.

Tattoo consent & release form
Medical questionaire (*Check all that apply)

Upload photos of your ID/Driver's license (Front and back)

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  1. If I have any condition that might affect the healing of this tattoo, piercing, or microbladed brows I will advise my artist. I am not pregnant or nursing. I am not under the influence of alcohol or drugs.
     

  2. I acknowledge that infection is always possible as a result of the obtaining of a tattoo, particularly in the event that I do not take proper care of my tattoo. I have received aftercare instructions and I agree to follow them while my tattoo is healing. I agree that any touch-up work needed, due to my own negligence, will be done at my own expense.
     

  3. I acknowledge it is not reasonably possible to the representatives and employees of Valraven Ink LLC to determine whether I might have an allergic reaction to the pigments or processes used in my procedure, and I agree to accept the risk that such a reaction is possible.
     

  4. I realize that variations in color and design may exist between any tattoo as selected by me and is ultimately applied to my body. I understand that if my skin color is dark, the colors will not appear as bright as they do on light skin.
     

  5. I understand that if I have any skin treatments, laser hair removal, plastic surgery or other skin altering procedures, it may result in adverse changes to my tattoo.
     

  6. I acknowledge that a tattoo is a permanent change to my appearance and that no representations have been made to me as to the ability to later change or remove my tattoo. To my knowledge, I do not have a physical, mental or medical impairment or disability which might affect my well being as a direct or indirect result of my decision to have a tattoo done.
     

  7. I acknowledge that I am aware of these signs and symptoms of infection which include but aren’t limited to: redness, swelling, tenderness of the procedure site, red streaks going from the procedure site towards the heart, elevated body temperature, or purulent drainage from the procedure site. *These signs and symptoms indicate the need to seek medical care.
     

  8. l acknowledge that I am not pregnant or might be pregnant.
     

  9. I am aware that the inks used in this procudure are not FDA approved.
     

  10. I acknowledge I am over the age of eighteen and that I have truthfully represented to my artist that the obtaining of a tattoo is by my choice alone. I consent to the application of the tattoo and to any actions or conduct of the representatives and employees of Valraven ink LLC reasonably necessary to perform this procedure.

Thanks for submitting! We have received your consent form

Contact Us

(603) 713-8161

99 Union Square Milford NH 03055

© 2024 Valraven Ink. All rights reserved.

Hours

Closing Time is subject to change. After 4:00pm please call first to see if we are available

Monday - Thursday

10:00am - 6:00pm

Friday - Saturday

12:00pm - 8:00pm

Sunday

Closed

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