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Troubleshooting
Let us do this part
Today's Date:
Wed Feb 19 2025 09:16
Practitioner:
*
-- Select --
Nico Salt - 217278
Piercing Placement:
*
Here is the link to your aftercare information - please download it to your device for your reference, or request a physical copy at the desk.
https://www.staysharpstudio.com/ear-piercing-aftercare
If you have any questions, please visit the website to open a contact form.
www.staysharpstudio.com
Please read and answer
Y
N
Terms
*
I understand that any check-up or advice provided is based on professional experience and knowledge but is not a guaranteed solution. Piercing involves precision-based techniques, and troubleshooting may require different approaches. Results may vary, and there is no certainty that the advice given will resolve any issues.
I acknowledge that piercing staff are not doctors or medical professionals. Further in-person consultations or medical check-ups may still be necessary as healing progresses, and I am encouraged to provide regular updates.
I accept that all advice provided is a guideline and should not replace medical advice from a doctor or healthcare professional.
How old is the piercing?
*
Y
N
Was the piercing performed by us? If not, was the piercing performed with a gun, or a needle?
*
Y
N
When did you notice the issue?
*
Details:
Y
N
What steps have you taken to resolve the issue?
*
Details:
Y
N
Have you had your jewelry changed, or attempted to do so?
*
Details:
Y
N
Have you been swimming recently?
*
Y
N
Do you spin or rotate your jewelry?
*
Y
N
Do you have pets or stay with somebody who does?
*
Y
N
Do you soak/bathe your piercing?
*
Please list any care products you are currently using: These could include, but are not limited to:
*
Alcohol
Ear Piercing Solution
Soap
Bacitracin
Epsom Salt
Tea Bags
Bactine
Hibiclens
Tea Tree Oil
Betadine
Iodine
H2Ocean
Wound Wash
NeilMed Saline
Biotene
Neosporin
Contact Lens Solution
Peroxide
Dial Soap
Provon
Dove
DIY Sea-salt Soaks
Mouthwash
How often are you using these products?
*
-- Select --
Once/Twice Daily
More Often
Where is your jewelry from/Do you know what it is made of or who manufactured it?
*
Anatometal
BodyGems
Buddha Jewelry Organics
BVLA
Divinity Metals
Ember Body Jewelry
Junipurr Jewelry
NeoMetal
NorVoch
I'm not sure of material
I'm not sure of brand
Comments/ Questions/ What Happened?
*
If any provision, section, subsection, clause or phrase of this release is found to be unenforceable or invalid, that portion shall be severed from this contract. The remainder of this contract will then be construed as though the unenforceable portion had never been contained in this document.
Client Information
I hereby declare that I am of legal age (with valid proof of age) and am competent to sign this Agreement or, if not, that my parent or legal guardian shall sign on my behalf, and that my parent or legal guardian is in complete understanding and concurrence with this agreement.
Legal Name:
*
Pronoun:
-select-
He/Him
She/Her
They/Them
He/Them
She/Them
He/She
He/She/They
Chosen name:
Address:
*
Postcode:
*
Date of birth:
*
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If you are under
18
your parent/guardian will be required
Phone #:
*
Email:
*
Sign up for our newsletter
Signature:
*
Sign above or type signature:
Parent/Legal Guardian
I, as custodial parent or legal guardian of the above minor under 18 years of age, hereby consent to the terms and conditions set forth in this release form and I attest that all documentation I have provided is true and accurate.
Guardian's Legal Name:
*
Relationship:
*
-select-
Natural guardian (birth parent)
Legal parent via marriage
Legal guardian via adoption
Other (provide proof)
Signature:
*
Emergency Contact
If something happens, your emergency contact might need to explain your medical history, allergies, or medications.
Name:
Phone #:
Photo ID
Please take photo(s) of your government issued photo IDs and related paperwork.
Please use the front camera to photograph your ID!
Remove Photo