Tattoo Removal Consultation Request

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Tattoo Removal Consultation Request

Please complete the form below and a consultant will get back to you shortly.

Contact Information

Name*

Email*

Phone*

How would you like to be contacted?*
EmailPhone

About Your Tattoo

What size is the tattoo (in inches)?

Width*
inches

Height*
inches

Where is the tattoo located?*

What is your skin type? How does your skin react in the sun?*

How many years have you had the tattoo?*

What color(s) of ink are the tattoo?*

Has your tattoo been covered up?*
YesNo

Have you had any tattoo removal treatments before?*
YesNo

Is there anything else you think we should know?

Please upload a photo of your tattoo. (2mb max size, PNG, JPG, JPEG, GIF)*