Client Healing Concern (HC Form)

Today's Date *

Submitter Name *

Submitter Email *

Submitter Phone *

Technician Name

Tatt2Away Center Business Name

Tatt2Away Center Address

Tatt2Away Center City *

Tatt2Away Center State or Province *

Tatt2Away Center Region (if applicable)

Tatt2Away Center Country

Client and Tattoo Description

Client Age *

Client Gender *

Client Genetic Ethnicity

Tattoo Location *

Tattoo Description *

Estimate date Tattoo Was Finished On *

Your Name *

Your Residence Address

Your Residence City *

Your Residence State or Province *

Residence Country

Client Email *

Client Phone *

Instigating Treatment and Healing Concerns

Which TEPR treatment session in the planned series instigated the healing concern?

Instigating Session in Series *

Prior Treatment Date {where applicable) *

Instigating Treatment Date *

Healing Concern Date *

Healing Concern Description *

Photographic Record

All Available photographs MUST be submitted. Photographs submitted by technicians are expected to be high quality: high resolution, in focus, and uniformly light. Immediate PRE- and POST-treatment photographs taken during EACH treatment session are part of every TEPR protocol. At a minimum, these photographs will be available and must be submitted.

Instructions for submitting photographs and data forms.

Please change the file names from the earliest "01" to the latest to keep them in sequence before uploading.

Treatment and Healing Photos *

Choose File

Lola Lola

August 19, 2024

I've been wanting to remove a tattoo for years and I couldn't find a place that gave me the confidence to do it. After having a consultation with Luisa, in Florida, I decided to do it and I don't regret it. She is very professional, both when she gives you guidance and when she is performing the procedure. At all times he explained everything he did and told me everything that could happen afterwards. She was very emphatic and specific in giving instructions for aftercare. Luisa has been attentive to my progress and always willing to clarify questions or doubts before the appointment.

Krista Marie

July 13, 2024

Luisa answered all my questions and made me feel really comfortable during the consultation. Looking forward to my first treatment :)

BMovie Mama

July 11, 2024

Great consultation. Fast response and very knowledgeable. I highly recommend them

Jaqueline Hernandez

May 9, 2024

I’m getting 2 removals done, i’ve only had one session for each but so far I am having a great removal experience! Luisa is the best! She always answers any questions/concerns I have when i’m there in person/text her. The removal feels exactly like getting a tattoo and the aftercare process is super easy. Luisa makes the process go by super fast with friendly and funny conversations and her music playlist is too good. Definitely a safe space. I look forward to my appointments. 10/10 Recommend!

Lisa Kanyuh

Luisa is doing a great job removing my tattoo. She has been consistent and makes you feel very comfortable. So far I am pleased with the results and the process has been manageable.

Stephanie Warren

February 2, 2024

I’m only on session one and things are looking so great! I can’t wait to see the final results!

Ashlie Handy

December 1, 2023

Lynsey is an actual angel. She is extremely sweet and kind and takes her time to explain the entire process to you. She does not push you to make a decision at any time & is very knowledgeable about the process. She taught me so much stuff & has done an amazing job at my removal. I am completely satisfied with my results and will miss Lynsey when I’m all done!

Chris Merxante

July 9, 2023

Very friendly and great service!

R. Hodge

June 23, 2023

After completing my second treatment service with Lynsey, I would like to share my gratitude not only for her immense kindness, but also for the level of care I have received during my removal process.