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Body Piercing Consent Form

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Body piercing is a procedure in which a needle is used to create an opening in the skin or cartilage, where sterile jewellery is then inserted. Common piercing sites include:

  • Ears (lobes, helix, tragus, conch, etc.)

  • Nose (nostril, septum)

  • Eyebrow

  • Lip or Labret

  • Tongue

  • Navel

  • Nipple

Only single-use, sterile needles and jewellery are used in accordance with infection prevention and safety regulations.


Eligibility & Medical Disclosure


To be eligible for a piercing, you must:

  • Be over 18 years old, or accompanied by a legal guardian for non-intimate piercings (proof of ID is required)

  • Be in good general health

  • NOT be under the influence of alcohol or drugs

  • Disclose any conditions that may affect healing, clotting, or immune response


Please inform us if you:


  • Are pregnant or breastfeeding

  • Have diabetes, epilepsy, heart conditions, or haemophilia

  • Have keloid scarring or a history of poor wound healing

  • Are on blood thinners or immunosuppressive medication

  • Have a pacemaker, joint replacement, or compromised immunity

  • Have any known allergies to metals (e.g. nickel), latex, or antiseptics


Risks and Side Effects


While body piercing is generally safe when performed by a trained professional, the procedure does carry risks:

Common side effects include:

  • Redness, swelling, and tenderness at the site

  • Bruising or minor bleeding

  • Itching as the piercing heals

  • Formation of scar tissue

Possible complications:

  • Localised infection or abscess formation

  • Rejection or migration of jewellery

  • Development of hypertrophic or keloid scars

  • Allergic reaction to metals or aftercare products

  • Damage to surrounding tissue or nerves (rare)

Some piercings (e.g. tongue, nipple, or genital) carry greater risk of swelling, bleeding, or damage, and healing time can vary significantly.

Aftercare Instructions

Following your piercing, it is important to:

  1. Do not touch the piercing unless hands are washed thoroughly

  2. Clean the area twice daily with sterile saline solution (or as advised)

  3. Avoid twisting, turning, or removing jewellery prematurely

  4. Avoid swimming pools, saunas, and hot tubs for at least 2–3 weeks

  5. Do not apply alcohol, hydrogen peroxide, or ointments unless directed

  6. Avoid makeup or cosmetic products near the piercing until healed

  7. Wear loose clothing for body piercings to avoid friction

  8. Monitor for signs of infection such as persistent redness, pain, swelling, pus, or fever

 

Healing times vary depending on the area:

  • Earlobe: 6–8 weeks

  • Cartilage: 3–6 months or longer

  • Nose: 2–4 months

  • Navel: 6–9 months

  • Nipple or Genital: 3–12 months

Your piercer will advise you on expected healing times and proper jewellery care.


Consent Declaration

By signing this form, I confirm that:

  • I am voluntarily choosing to undergo a body piercing procedure

  • I have been given a clear explanation of the procedure, risks, and aftercare

  • I understand the importance of hygiene, proper aftercare, and seeking medical attention if infection or other concerns arise

  • I have disclosed all relevant medical history and allergies to the practitioner

  • I have been given the opportunity to ask questions, and all questions have been answered to my satisfaction

  • I understand that healing outcomes may vary, and there is no guarantee of cosmetic appearance

  • I understand the risk of infection, scarring, or other complications

  • I am not under the influence of alcohol or drugs, and I am mentally competent to give consent

  • I agree to immediately notify the body piercer in the event I feel lightheaded, dizzy and/or faint before, during or after the procedure

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ADDRESS

1a Piermont Place 
Dawlish 
Devon 
EX7 9PQ

CONTACT

Tel: 07738287979

Email: mel@themodernmuse.co.uk

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