Medical Assessment Form

A medical assessment form is required to ensure your safety during a laser removal procedure. It helps identify any health conditions, allergies, or medications that may affect the treatment, healing process, or overall results. This information allows me to tailor the procedure and minimise any potential risks or complications.

You must complete your medical form at least 48 hours before your scheduled appointment. This allows me sufficient time to review it and address any important details beforehand. Without a completed form, I am unable to proceed with your appointment. If the form is completed on the day of your appointment, it will reduce the time available for your session.

Contraindications – Laser Tattoo Removal

While laser tattoo removal is suitable for many clients, certain medical conditions, medications, and skin factors may make treatment unsuitable or require additional medical clearance. Please read the following contraindications carefully to assess whether you are an eligible candidate.

No Exceptions

These conditions are absolute contraindications, meaning laser tattoo removal should not be performed under any circumstances:

Pregnant or Breastfeeding

  • Contraindicated due to lack of safety data

Tanned Skin/UV Exposure

  • Active sunburn

  • Recent tanning (natural or sunbed exposure within approximately 2–4 weeks)

Active Skin Conditions

  • Psoriasis, eczema, dermatitis, or active acne in the treatment area

  • Open wounds, cuts, abrasions, or unhealed skin

  • Active sunburn or recently damaged skin

Photosensitivity Disorders

  • Porphyria or other diagnosed light-sensitive conditions

  • Lupus or autoimmune conditions causing active photosensitivity

Photosensitising Medications
Clients currently taking medications or supplements that increase sensitivity to light, including but not limited to:

  • Tetracycline antibiotics (e.g. doxycycline, minocycline)

  • Isotretinoin (Accutane) within the last 6–12 months

  • Certain diuretics or antipsychotic medications

  • Chemotherapy drugs

  • St John’s Wort

Active Infections

  • Cold sores or herpes simplex in the treatment area

  • Bacterial, fungal, or viral skin infections

  • Systemic infections (e.g. flu, COVID-19)

Keloid or Hypertrophic Scarring
Clients with a history of abnormal scar formation may be at increased risk of scarring following treatment.

Cancer Treatment
Clients currently undergoing chemotherapy or radiation therapy.

Severe Immune Suppression
Conditions or medications that significantly impair the immune system and healing response.

Undiagnosed Skin Lesions
Suspicious moles, lesions, or any area of concern that has not been medically assessed.

Exceptions with Additional Consent

Laser tattoo removal may still be possible in some cases with written medical clearance and informed consent:

Autoimmune Disorders
Conditions such as lupus, rheumatoid arthritis, or other disorders that may affect healing.

Diabetes
Particularly uncontrolled diabetes, which may impair healing and increase infection risk.

Blood Thinners
Clients taking anticoagulant medication may bruise more easily and should consult their doctor before treatment.

Heart Conditions
Clients with pacemakers or significant cardiovascular conditions may require medical clearance.

Epilepsy
Particularly photosensitive epilepsy or a history of seizures triggered by flashing lights.

Skin Tone Considerations
Darker skin tones (Fitzpatrick IV–VI) may have a higher risk of temporary or permanent pigmentation changes and require cautious treatment settings.

Possible Risks & Side Effects

Laser tattoo removal carries potential risks and side effects. While most reactions are temporary and expected, complications can occasionally occur.

Redness, Swelling & Tenderness
Temporary redness, heat, and swelling are common and usually subside within 24–72 hours.

Blistering & Crusting
Blistering, scabbing, or crust formation may occur as part of the normal healing process.

Temporary Pigment Changes
The treated area may become temporarily darker (hyperpigmentation) or lighter (hypopigmentation), particularly in darker skin tones.

Permanent Pigment Changes
In some cases, lightening or darkening of the skin may be long-lasting or permanent.

Paradoxical Ink Darkening
Certain tattoo pigments, particularly white, beige, pink, or flesh-toned pigments containing titanium dioxide or iron oxide, may darken permanently after laser exposure.

Incomplete Removal
Complete tattoo removal cannot be guaranteed. Some pigment may remain despite multiple sessions.

Scarring
Although uncommon, scarring can occur, especially if aftercare instructions are not followed or if the skin is prone to abnormal healing.

Infection
Improper aftercare or contamination may lead to bacterial infection.

Allergic Reaction
Rarely, the breakdown of tattoo pigment may trigger an allergic response.

Textural Skin Changes
Temporary or permanent changes in skin texture may occur.

Sensitivity During Future Laser Treatments or Imaging
Clients with residual pigment may experience sensitivity during future cosmetic laser procedures or certain medical imaging scans.

PRE/Post-care