INFORMATION AND INFORMED CONSENT FORM


IDENTIFICATION DATA

NAME OF THE CENTRE

SACRED TATTOO AND PIERCING

5251073A

C/ Cádiz 16 18800 Baza

PERSON APPLYING THE TECHNIQUE

Cecilio Mateos Rubio

ID 457144581

Academic Qualification: EGB

Professional Category: Tattoo artist and bander. Number 63

Telephone: 625496841

Email: ceci_ink24@hotmail.com


GENERIC NAME OF THE TECHNIQUE TO BE APPLIED

This document is signed so that the user, or whoever represents them, gives their consent to be subjected to the following body decoration technique: Tattoo.

DETAILED DESCRIPTION OF THE TECHNIQUE TO BE APPLIED

  • This technique is permanent: YES
  • This technique is for life: YES
  • The passage of time may cause alteration or discoloration of the area in which the technique is applied: YES
  • How it is done: Using a dermograph, needle and ink, we introduce the pigment into the skin.
  • May require touch-ups: YES
  • Materials used and their characteristics: Dermograph with 3.7 mm stroke, organic black ink, needles or cartridges with sterile and single-use surgical steel needles, liquid soap and paper.
  • Effects that the application of the technique may have: Depending on the duration of the tattoo, it may cause pain and skin irritation.
  • Risks that the application of the technique may have: Allergies, risk of infection of the treated area if our recommendations are not followed.
  • Hygienic-sanitary measures to adopt in the application of the technique: Hand washing, use of sterile gloves, sterile single-use material, in the case of needles that will be disregarded in the presence of the user as well as the elimination of excess . Non-sterile and single use, protection systems such as paper, stretcher, fields to cover the table, overalls, mask, cover for the machine and film for the cans, or any device we use will be changed after contamination with blood and other substances before a new intervention. Cleaning the room after each work will be done with 70% isopropyl alcohol.

DESCRIPTION OF STERILIZATION AND DISINFECTION METHODS USED

  • Sterilization equipment: Model STE-12-D
  • Sterilization methods: Steam autoclave sterilization.
  • Maintenance type: Periodicity.
    • 50 cycles: Cleaning the door gasket, chamber, trays and support, filter inside the chamber and inside the water tank.
    • 200 cycles: Change of bacteriological filter and cleaning of the water tank.
  • Cleaning and disinfection methods:
    • Instrument cleaning: Ethyl alcohol 70% for 30m.
    • Cleaning electrical instruments: Isopropyl alcohol 70%
    • Room cleaning: Sanitol.

TATTOO AND/OR MICROPIGMENTATION TECHNIQUES USED

TATTOO: The tattoo technique is the procedure of body decoration by introducing coloring pigments into the skin through punctures. Made with demographic machinery, stainless steel tools, needles, ink holders and other material, sterile and disposable, packaged and sealed until use. The inks used comply with the provisions of the Second Additional Provision of Royal Decree 1599/1997, of October 17, on cosmetic products, and have their corresponding health registration from the Spanish Agency for Medicines and Health Products. The inks used in the session are placed in sterile, single-use containers and discarded later.

REQUIREMENTS OF THE APPLICATOR PERSON

  • Qualification or training: Courses in dermography and seminars on tattoos, micropigmentation and piercing since 2003. Sanitary hygiene certificate renewed every 5 years
  • COMPETENT UNITS. Training for:
    • Perform and supervise artistic tattoo techniques: YES
    • Perform and supervise micropigmentation processes: YES
    • Perform skin piercing "piercing": YES

RISKS

Like any invasive technique, there are risks. Whenever cuts or punctures are performed that lead to an open and bleeding wound, there are risks of local infections and contagion of diseases such as hepatitis, syphilis, HIV, among others, all of which are easy to prevent by maintaining minimal rules of hygiene and sterilization.

INSTRUCTIONS PRIOR TO APPLICATION

If you are taking any medication, consult your doctor before starting the technique to be performed.
  1. Do not sunbathe or UVA rays
  2. Do not take stimulants such as tea, coffee, soft drinks with caffeine or theine, or substances with stimulant components.
  3. Do not take alcohol, vasodilators or anticoagulants.
  4. Do not eat seafood, strong or spicy foods.
If you have any questions, consult your technician.

GENERAL CARE AFTER THE TECHNIQUE PERFORMED

TATTOO: After two hours, remove the bandage and wash it with clean hands with water and neutral soap, then dry it with cellulose paper. Apply a thin layer of ointment (Bepanthol) until it is completely absorbed by the skin. Cover it with transparent film for the first 24 hours, washing and moisturizing it two or three more times. It will then be kept in the air, washing it once a day while the ointment, always with clean hands, will be applied several times a day and for at least two weeks. Do not expose it to the sun or UV rays, do not apply cologne, hydrogen peroxide, betadine or alcohol, do not bathe in water with chlorine or salt, nor in rivers, swamps or similar and do not wear clothing that may release lint, squeeze or rub the tattoo during its healing. In case of possible regret, there are reversibility options, either by laser or by removal of the affected skin, all of which must be carried out in specialized clinics.

User data

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Legal representative data

Informed consent, place, date and signature

I declare that I have been informed about the body technique called TATTOO and I agree with the technique to be performed. I declare that I have understood the information received and that I have clarified my doubts. For this reason, I have made the decision to AUTHORIZE THE APPLICATION OF THE ABOVE TECHNIQUE.
In compliance with the General Data Protection Regulation 2016/679 and Organic Law 3/2018, of December 5, on the Protection of Personal Data and guarantees of digital rights, you are informed that your data will be included in an automated file. for its treatment, the person responsible for which is INTEGRALDIVA, SL, and whose purpose is the custody of the express consent necessary to manage the requested request. The data provided will be kept as long as the contractual relationship is maintained or for the years necessary to comply with legal obligations. The information provided will not be transferred to third parties except in cases where there is a legal obligation. You have the right of access, rectification, deletion, limitation of processing, portability or opposition of your data at C/Cádiz, 16. 1880 de Baza. Granada, or at the email address fina_actualsthetic@hotmail.com.
Check if you authorize the sending of offers and commercial communications related to those requested by any means (postal, email, WhatsApp, SMS, telephone), and this consent may be revoked at any time by the indicated means.
I authorize INTEGRALDIVA, SL to use its images and videos taken by the company for the promotion of the entity and to publish them on the website, social networks, calendars, media, etc. The data provided will be kept as long as the advertising management is maintained and will not be transferred to third parties except in cases where there is a legal obligation.

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