Health declaration
This declaration is signed at the studio, on the day of the session, before anything starts. The page exists so it can be read in advance — not so it can be sent from here.
What the declaration covers
It is not a medical questionnaire and it does not replace a doctor. It is a list of things that change how the work is done, and sometimes whether it happens that day at all.
The categories
- Pregnancy or breastfeeding
- The studio does not tattoo during pregnancy or breastfeeding, and offers to move the session.
- Epilepsy
- Changes the length of the session, the lighting, and who is in the room.
- Diabetes
- Relevant to how fast it heals and to the choice of placement.
- Clotting disorders and blood thinners
- Affects bleeding during the work and how the pigment takes.
- The state of the skin at the site
- Psoriasis, eczema, a mole, a fresh scar or sunburn at that exact placement.
- Allergies
- Latex, nickel, pigments, soaps and ointments — including a reaction you have had before.
- Regular medication
- The name is enough. No diagnosis and no medical documents are asked for here.
- Blood-borne conditions
- Changes the order of work and the scheduling, not the sterilisation, which is the same every time.
- Surgery or an implant in the area
- Including a surgical scar, an implant, and anything under the skin at the intended placement.
- Alcohol or drugs in the 24 hours before
- A session someone arrives at after a night like that is moved, not done at half strength.
When it is signed
At the studio, on the day, before anyone touches the skin. It is not emailed ahead and not filled in on a phone on the way: it is signed in front of the artist who will do the work, because it is meant to be read rather than merely collected.
If anything on it changes between sessions — a new medication, surgery, a pregnancy — it is signed again. Last year’s declaration is paper, not information.
What happens to it
The sheet stays at the studio, in the client’s file, and does not go into any outside service. It is not photographed onto anyone’s phone and not forwarded on WhatsApp.
It is read before the session and kept for a period decided in advance, after which it is destroyed. A real studio has to settle that period with a lawyer and write it here as a number; a demo site does not invent one.
Print this page · The page prints as a single A4 form, and the demo strip stays on it in print. A printed sheet is exactly where that label matters most, because it has left the site.
What it looks like as a form
The same ten questions, as they would look inside the studio’s own system. This is a demonstration of the shape, not a working form.
This form is a labelled demonstration. It goes nowhere, stores nothing and is read by nobody: there is no real submit button, and every answer below is pre-filled with plainly invented values — so that nobody types real medical data into a fictional studio.
The values below are a specimen, written so it is immediately obvious they belong to no one. Two answers are "yes" on purpose, to show what a declaration with something in it looks like.
Submit the declaration
What would happen now
At a real studio this press would create one record and attach it to the client’s file. Here it only shows it. Nothing was sent, nothing was stored and nothing left your browser.
The record that would be created
Where it would be written
What is actually stored here
Why this is not a link to a Google Form
A Google Form is what the trade actually does, and that is the problem: it moves clients’ health data into the owner’s personal Google account. It sits in a personal inbox, anyone with the link can sometimes read it, no retention period was ever decided, and nobody deletes anything.
One screen inside the studio’s own system removes all of that: the data stays with the studio, who can see it and when it is deleted are settings rather than accidents, and the declaration arrives with the appointment instead of as a separate link sent the evening before.
This is a demonstration of the shape. A real studio has to decide how long to keep it, who may read it and what happens at the end — and those decisions are made with a lawyer, not with a website.