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Tattoo Booking Process

No tattoo booking can be made without a booking application being completed. Once your images and medical history have been reviewed, you will be contacted directly and booked at the next available appointment, near your locality.

All online booking requests are treated as (Medical - In - Confidence)

* Name
* Email
* Mobile
* Location
* State
* How did you find us?
 

Medical History

* Diagnosis Date
* Current Medications:
* Age
* Sex
 

Surgery / Reconstruction Dates

* Mastectomy Date
* Breast Reconstruction
* Nipple Reconstruction
* Chemo Therapy
* Radiation Therapy
* Known Complications
 

Breast Reconstruction Photos (Medical - In - Confidence)

* Front
* Right
* Left
 
Additional comments: