CUSTOMER INFORMATION
LEGAL REPRESENTATIVE (only for minors or incapacitated persons)
HEALTH DECLARATION
For health and safety reasons, please check the applicable options:
• Do you suffer from blood clotting problems or take anticoagulant medication?
• Do you have any known allergies to metals (nickel, titanium, surgical steel), jewelry components, latex, or disinfectants?
• Do you have a history of hypertrophic scarring, granulomas, or keloid formation?
• Do you suffer from any blood-borne diseases or immunodeficiencies (Hepatitis, HIV, etc.)?
• Do you have any active skin conditions, infections, or lesions in the exact area where the piercing will be performed?
• Do you suffer from any heart condition, diabetes, epilepsy, or are prone to fainting or low blood pressure?
• Are you pregnant or breastfeeding?
• Have you consumed alcohol, medications (especially aspirin or anti-inflammatories), or narcotics in the last 24/48 hours?
New piercing care
Daily care
• WASH YOUR HANDS BEFORE TOUCHING IT.
• CLEAN THE AREA TWICE A DAY WITH SALINE SOLUTION (STERILE SALINE SOLUTION). APPLY GENTLY AND LET IT AIR DRY.
• KEEP THE AREA CLEAN AND DRY. AFTER SHOWERING, DRY IT WITH A CLEAN GAUZE OR PAPER TOWEL.
Avoid
• DO NOT TWIST OR UNNECESSARYLY MOVE THE PIERCING, AS THIS CAN IRRITATE THE SKIN AND DELAY HEALING.
• AVOID TOUCHING IT DURING THE DAY.
• DO NOT USE ALCOHOL, HYDROGEN PEROXIDE, OR IODINE, AS THESE CAN IRRITATE THE WOUND.
• AVOID SWIMMING POOLS, JACUZZIS, AND SEAWATER FOR THE FIRST FEW WEEKS IF POSSIBLE.
MANIFESTATIONS
• I declare that I have been fully informed about the nature of the procedure, acknowledging that it involves a controlled piercing of dermal or cartilage tissue, and that it carries potential risks of local infection, inflammation, bleeding, allergies to the jewelry materials, or a delay in the natural healing process.
• I fully understand that a piercing creates a channel in the body which, depending on the location, the duration of wear, and my skin type, may leave a permanent scar or mark even after the jewelry is removed.
• I confirm that I have verified and approved the exact location of the piercing, as well as the type, material, and thickness of the initial jewelry, and I fully agree to the agreed-upon result.
• I acknowledge having received clear, written instructions for aftercare to ensure proper healing and disinfection of the piercing, and I agree to follow them strictly to prevent rejection or infection.
• By signing, I waive all legal claims and claims for damages against the establishment and its representatives that may arise from the piercing I wish to have, provided that it has been performed in accordance with applicable health and hygiene regulations.
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UPLOAD DOCUMENT PHOTO