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Dream Clinic | Visionary Tattoo Studio | Utrecht
Dream Clinic Tattoo Piercing

Tattoo Consent form

Information for the client regarding the consent form

Please read the following information carefully and inform the tattoo artist if you have any doubts about your eligibility to be tattooed. Tattooing and the healing process can come with risks and possible complications.


You will be given instructions on proper aftercare to help you minimize the negative effects. This information can be found on our website, under the FAQ section.

It is normal for tattooing to be accompanied by pain, redness and swelling. If these symptoms make the healing process worse, this could be a sign of an infection and you should consult with a doctor.

There are potential risks from getting tattooed; septicaemia, localized swelling and trauma around the tattooed areas, localized infection, line blowouts, potential scarring and allergic reactions.

Some complications may be related to your health situation. For your safety it's important that the tattoo artist is informed about it. In this case there may be additional precautions to be taken.


Tattoos are permanent and, depending on the ink used, they may not look good and want to get be removed. In case of doubt, treatment should be postponed and medical advice should be obtained and inquired.

Do not get a tattoo:

• if you are pregnant or breastfeeding;

• if you are under the influence of alcohol or drugs;

• on a birthmark or a scar after a melanoma removal.

The following conditions may put you at a higher risk of complications, such as

1. Skin:

a) skin infection regardless of location and type of infections

b) allergies (please indicate if you have an allergy, for example latex allergy, allergy to metals and preservatives)

c) skin areas that appear damaged or abnormal, including moles

d) any skin diseases that are active (e.g. eczema, psoriasis)

e) skin areas that have been subjected to plastic surgery or radiotherapy including recent scars and keloids (according to medical advice)

f) a previously tattooed spot that has not fully healed

g) a place where a tattoo has recently been lasered or removed by another method if the wound has not yet healed


2. General disorders:

a) haemophilia or any other coagulation disorder

b) epilepsy, cardiovascular disease

c) known allergies (e.g.  latex allergy)

d) diabetes

e) an autoimmune disease

f) immunosuppression and immune compromised conditions

g) sarcoidosis

If any of the above conditions or conditions apply to you and you still want a tattoo, please inform the tattoo artist consult your doctor first and seek advice.

Covid-19 related additional information:

• I am aware of the stricter measures within the Tattoo studio and will follow these instructions.

• During the duration of two weeks before getting the tattoo, you must not have had any symptoms of illness such as a cough, fever or a running nose.

• During the duration of two weeks before getting the tattoo, you must not have been in contact with a person who did have these symptoms.

• Not to have travelled abroad in the two weeks before getting the tattoo.

Declaration of the client

In consideration of receiving a tattoo at Dream Clinic Tattoo Studio, I agree that I have read and understand that I am bound by the following:

This form will be treated confidentially in accordance with the General Data Protection Regulation (GDPR)

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