Patient care checklist

This form provides us with important information about you, your health and your upcoming cosmetic tattooing procedure. We'll contact you once our pharmacist has reviewed your information and confirmed this medication is right for you.

Patient details

We need this to legally dispense your topical anaesthetic. We'll ship it directly to the clinic if selected.

PLEASE NOTE: SHIPPING CHARGE CHANGED 01/08/24 DUE TO AUSTRALIA POST INCREASES

Clinic details

Patient medical history