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Get Client Body Art Record And Consent Form - Michigan
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How to fill out the Client Body Art Record And Consent Form - Michigan online
Filling out the Client Body Art Record And Consent Form is an essential part of the body art process in Michigan. This guide will provide clear instructions on how to complete the form online, ensuring that you have all necessary information and consents documented properly.
Follow the steps to complete the form accurately.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Enter the license number in the designated field at the top of the form.
- If the client is a minor, ensure to provide proof of parental or legal guardian identification. Upload a photo ID such as a driver's license or passport, along with a copy of the minor's birth certificate or court document verifying the relationship.
- Complete the Client Health Questionnaire by answering questions regarding medical conditions. Make sure to check boxes corresponding to any relevant medical history before proceeding.
- Indicate that you have received the Disclosure Statement, Notification for Filing Complaints, and Aftercare Information Sheet by checking the appropriate boxes.
- Provide consent by signing the form in the Client/Parent/Legal Guardian Signature section. Include the date of signing.
- Fill in the date of the body art procedure and the name of the body art technician performing the procedure.
- Enter the client’s full name, address, age/date of birth, and contact information, including telephone number and email address.
- Describe the design and location of the tattoo, brand, or body piercing in the space provided.
- Note any known complications with previous body art procedures within the body art facility.
- After completing the form, review it for accuracy. Save changes, download, print, or share the form as needed.
Complete your documents online today to ensure a smooth body art procedure.
Licensure Steps Apply for a license through the MDHHS Body Art webpage. Include your license application fee when submitting. Click here to apply. When MDHHS has received the licensure fee they will submit an inspection form to District Health Department No.
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