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Consent Form

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Client Acknowledgment (Please check each statement)
Medical Disclosure (check any that apply)
Texas Law Acknowledgement Under Texas Health & Safety Code Chapter 146:
Photo/Social Media Release
Yes- I consent to photographs/videos of my tattoo being used for marketing and social media.
No- I do not consent to photography or posting.
Aftercare Acknowledgement
I acknowledge that I have received verbal and/or written aftercare instructions and understand that proper healing is my responsibility.
Release of liability
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(915) 304-0120

8838 Viscount Blvd Ste. M El Paso Tx. 79925

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