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Tattoo Removal Questionnaire

Please remember to also schedule a phone consult or go back to the tattoo removal page after you submit this form. Fields marked with an * are required fields.

Please check the size of the tattoo:

Check all that apply:

Please indicate your skin type:

Please check all colors that apply to your tattoo:

Where is your tattoo located?

Was your tattoo made by an amateur?

Was your tattoo done by a professional?

Which best describes your tattoo?

Is your tattoo a cover up of an old one?

Have you had any prior laser tattoo removal treatments?

Do you have any scars over the tattoo?