1 Your detailsFirst and last name * Date of birth * Street address Postcode, city Phone Email
2 Health questions* Are you currently under the influence of alcohol, drugs or impairing medication (last 24 h)?* Do you take blood thinners (e.g. aspirin, warfarin) or have a bleeding disorder?Diabetes? Heart or circulatory disease, epilepsy or tendency to faint? Allergies (e.g. latex, nickel/metals, pigments, disinfectants, plasters, local anaesthetics)? * Skin condition at the site (eczema, psoriasis, inflammation, mole, fresh scar, sunburn)?Tendency to keloids or poor wound healing? Weakened immune system (e.g. immunotherapy, chemotherapy, cortisone) or a known transmissible infectious disease? * Pregnant or breastfeeding?Medication / allergies / other * If “yes”, we do not carry out the procedure, or only after discussion or medical clearance. We refuse any procedure under the influence of alcohol or drugs.
3 Risks – please readInfections and inflammation Allergic reactions to the material, also years later Scarring and keloids Swelling, bleeding, pain, circulatory reactions Colour changes, fading or blurring; the result also depends on skin and aftercare Removal is complex, costly and not always completely possible Possible skin reactions (e.g. burning) during MRI scans Please also read this before your appointment – it opens in a new tab, your form stays as it is:
✓ Privacy & photosController: Spicy Collective AB, reg. no. 559368-0183, Nedre Torekällgatan 5, 151 72 Södertälje, Sweden, info@spicycollective.se. We process your details to carry out the service (Art. 6(1)(b) GDPR), to document the information and consent given and to trace the materials used in case of later reactions (Art. 6(1)(f) GDPR). We process your health information only with your explicit consent (Art. 9(2)(a) GDPR), which you give by signing; without it we cannot carry out the procedure safely. The records are kept on paper under lock, not passed on, and destroyed 10 years after the procedure. You have the right to access, rectification, erasure (unless retention reasons apply), restriction and objection, and to complain to the Swedish Authority for Privacy Protection (IMY). Details: spicycollective.se/en/privacy/
Photos of my tattoo/piercing may be published without my face / unrecognisably on the studio's website and social media (voluntary, can be withdrawn at any time for the future). … also with my face recognisable.
1 Your detailsFirst and last name * Date of birth * Street address Postcode, city Phone Email
2 Health questions* Are you currently under the influence of alcohol, drugs or impairing medication (last 24 h)?* Do you take blood thinners (e.g. aspirin, warfarin) or have a bleeding disorder?Diabetes? Heart or circulatory disease, epilepsy or tendency to faint? Allergies (e.g. latex, nickel/metals, pigments, disinfectants, plasters, local anaesthetics)? For oral piercings: braces, dentures or gum problems? * Skin condition at the site (eczema, psoriasis, inflammation, mole, fresh scar, sunburn)?Tendency to keloids or poor wound healing? Weakened immune system (e.g. immunotherapy, chemotherapy, cortisone) or a known transmissible infectious disease? * Pregnant or breastfeeding?Medication / allergies / other * If “yes”, we do not carry out the procedure, or only after discussion or medical clearance. We do not pierce during pregnancy or breastfeeding. We refuse any procedure under the influence of alcohol or drugs.
3 Risks – please readInfections and inflammation Allergic reactions to the material, also years later Scarring and keloids Swelling, bleeding, pain, circulatory reactions Rejection or migration of the jewellery, snagging Cartilage damage (ear/nose), nerve injury For oral piercings: damage to teeth and gums, speech impairment Permanent holes/scars even after removing the jewellery Please also read this before your appointment – it opens in a new tab, your form stays as it is:
✓ Privacy & photosController: Spicy Collective AB, reg. no. 559368-0183, Nedre Torekällgatan 5, 151 72 Södertälje, Sweden, info@spicycollective.se. We process your details to carry out the service (Art. 6(1)(b) GDPR), to document the information and consent given and to trace the materials used in case of later reactions (Art. 6(1)(f) GDPR). We process your health information only with your explicit consent (Art. 9(2)(a) GDPR), which you give by signing; without it we cannot carry out the procedure safely. The records are kept on paper under lock, not passed on, and destroyed 10 years after the procedure. You have the right to access, rectification, erasure (unless retention reasons apply), restriction and objection, and to complain to the Swedish Authority for Privacy Protection (IMY). Details: spicycollective.se/en/privacy/
Photos of my tattoo/piercing may be published without my face / unrecognisably on the studio's website and social media (voluntary, can be withdrawn at any time for the future). … also with my face recognisable.
Please fill in the marked fields and answer all health questions.
Please do not sign yet – you confirm your consent after the information talk in the studio.
