APPLICATION FOR TATTOO, RELEASE OF LIABILITY AND
WAIVER TO ALL CLAIMS
Moscow Tattoo Company and your tattoo artist or piercer (independent contractor) make efforts to maintain your privacy. However, we can not guarantee the security of information submitted electronically. Please discuss any personal information you are not comfortable disclosing on this form with your artist or piercer. Please note that your artist or piercer may consult with other professionals for guidance. Moscow Tattoo Company and the artist(s) and piercer(s) are not bound by HIPAA or other regulations guiding confidentiality practices pertaining to health information.
By completing this APPLICATION FOR TATTOO, RELEASE OF LIABILITY, AND WAIVER TO ALL CLAIMS form (also referred to as the Agreement), you acknowledge that the information given is true, complete, and accurate (unless specifically noted and discussed with your artist).