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Nipple Tattoo Bookings

Due to the current environment we are unable to confirm any current or future bookings.

We are working behind the scenes to get Survivors Ink back up and running.
We hope to have more information out to you soon.
Happy for you to contact us at any time.

No tattoo bookings can be made without a completed application being submitted, including reconstruction photos. This request is obviously at your discretion, however we are not in a position to offer our free service without an assessment of your medical history, reconstructed breasts and associated scar tissue.

The provided images must be current, clearly viewable and taken from the front, left side and right side of the breast/s. Please ensure no faces are captured in the images.

Once your medical history and images have been reviewed, you will be contacted via email and booked at the next available appointment,
near your locality, or placed on our waiting lists.

*The Survivors Ink website is a secure Australian network and meets Australian legislation requirements.

*Please allow up to 14 days for our volunteers to respond to your booking
request.


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

* Name
* Email
* Mobile
* Location
* Preferred tattooing 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: