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)? Yes No* Do you take blood thinners (e.g. aspirin, warfarin) or have a bleeding disorder? Yes NoDiabetes? Yes NoHeart or circulatory disease, epilepsy or tendency to faint? Yes NoAllergies (e.g. latex, nickel/metals, pigments, disinfectants, plasters, local anaesthetics)? Yes No* Skin condition at the site (eczema, psoriasis, inflammation, mole, fresh scar, sunburn)? Yes NoTendency to keloids or poor wound healing? Yes NoWeakened immune system (e.g. immunotherapy, chemotherapy, cortisone) or a known transmissible infectious disease? Yes No* Pregnant or breastfeeding? Yes No
Medication / allergies / other
* If “yes”, we do not carry out the procedure, or only after discussion. 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. We process your health information only with your explicit consent (Art. 9(2)(a) GDPR), which you give by signing in the studio. The records are kept on paper under lock and destroyed 10 years after the procedure.
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may be published without my face / unrecognisably on the studio's website and social media (voluntary, can be withdrawn at any time for the future).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)? Yes No* Do you take blood thinners (e.g. aspirin, warfarin) or have a bleeding disorder? Yes NoDiabetes? Yes NoHeart or circulatory disease, epilepsy or tendency to faint? Yes NoAllergies (e.g. latex, nickel/metals, pigments, disinfectants, plasters, local anaesthetics)? Yes NoFor oral piercings: braces, dentures or gum problems? Yes No* Skin condition at the site (eczema, psoriasis, inflammation, mole, fresh scar, sunburn)? Yes NoTendency to keloids or poor wound healing? Yes NoWeakened immune system (e.g. immunotherapy, chemotherapy, cortisone) or a known transmissible infectious disease? Yes No* Pregnant or breastfeeding? Yes No
Medication / allergies / other
* If “yes”, we do not carry out the procedure, or only after discussion. 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. We process your health information only with your explicit consent (Art. 9(2)(a) GDPR), which you give by signing in the studio. The records are kept on paper under lock and destroyed 10 years after the procedure.
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.