1. A risk notification section that provides information detailing the risks and possible consequences of a body art procedure and must include (but is not limited to) the following statements: 1. “Body art can cause swelling, bruising, discomfort, bleeding, and pain.” 2. “Body art can cause allergic reactions.” 3. “Body art can cause irreversible changes to the human body.” 4. “Body art has a risk of infection.” 2. A client evaluation section that asks the following questions to evaluate the client’s condition for receiving body art. This section must include the following statement: Consult a physician prior to the procedure if you have any concerns about any of the questions below: 1. Have you eaten within the past 4 hours? 2. Are you under the influence of drugs or alcohol? 3. Have you ingested anticoagulants, antiplatelet drugs, or NSAIDS (aspirin, ibuprofen, etc.) in the last 24 hours? 4. Have you ingested any medication that can inhibit the ability to heal a skin wound? 5. Do you have any allergies or adverse reactions to dyes, pigments, latex, iodine, or other such products? 6. Do you have hemophilia, epilepsy, a history of seizure, fainting, narcolepsy, or other conditions that could interfere with the body art procedure? 7. Do you have a history of any diseases, including skin diseases, that might inhibit the healing of the body art procedure? 8. Do you have any communicable diseases that could be transferred to another person during the procedure? 9. Do you have diabetes, high blood pressure, heart condition, heart disease, or any other
conditions that could interfere with the body art procedure? 10. Are you or have you been pregnant within the last 3 months? 3. Client information: 1. name as it appears on government ID,
2. signature, 3. birthdate,
4. permanent address, 5. phone number, and 6. a copy of their state or federally issued photo ID with birthdate (i.e., driver’s license, state
ID, passport, immigration card, etc.). 7. Is the client 18 years of age or older?
7.2 Each body artist must record the following information about the body art procedures administered: 1. The following information about the body art procedure must be written down: 1. type of body art procedure,
16
Powered by FlippingBook