1. Clients will be informed in detail about the treatment by an artist.
   Artist is obligated to perform treatment in strict compliance with all hygiene and health protection measures.
2. HEALTH CONDITION QUESTIONARE
   Please answer the following health questions truthfully. Do you suffer from the following diseases or are you taking any of these medications?
   Hemophilia YESNO

   Diabetes mellitus (diabetes) YESNO

   Hepatitis A, B, C, D, E, F YESNO

   HIV + YESNU

   Skin diseases YESNO

   Eczema YESNO

   Allergies YESNO

   Autoimmune diseases YESNO

   Are you prone to herpes? YESNO
   Infectious diseases / high fever YESNO

   Epilepsy YESNO

   Cardiovascular problems YESNO

   Are you taking medication for blood thinning (anticoagulants)? YESNO

   Are you pregnant? YESNO

   Are you taking any medications on daily basis? YESNO

   Do you have a pacemaker? YESNO

   Do you have problems with healing of wounds? YESNO

   Have you used drugs or alcohol in the last 24 hours? YESNO
   Did you in the last 14 days undergo surgery, were you exposed to radiation or had any other medical interventions? YESNO

   This information is confidential and it shall be handled in such manner. It will not be shared with third party. By signing this document, you accept to receive information from the Artist by e-mail.

3. CONTRACTUAL OBLIGATIONS
   I agree on photo taking and using the photos for advertising purposes.
   YESNO
4. WARRANTY
   Artist accepts liability in compliance with the legal measures and regulations in the case of negligence or carelessness or intentionally or negligently caused injuries or threat to life, body and health. Contracting parties are liable for violations of the obligations specified under the Agreement.

COMPETENCE
I confirm that I have read and understood the aforementioned information.
YESNO
I received a clear and understandable response to all my questions.
YESNO
The treatment procedure and post-treatment care was explained to me in detail and I agree with it.
YESNO
I do not have any further questions and complaints.
YESNO

*If any other legal document is required by the government of the country of the Artist, it should be signed applied.
By using this form, you agree to the storage and management of your data by this website.

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