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Dermal & Surface Piercing Consent Form

A dermal and surface piercing consent template — records that the client understands the higher maintenance and rejection risk.

Description

Dermal anchors and surface piercings look striking but behave very differently from a standard piercing, and clients deserve to understand that before committing. This consent form makes sure they do. Alongside their details, date of birth and placement, it sets out the realities of these piercings in plain language. The confirmations are honest about what they’re taking on: that dermals and surface piercings heal slowly and need careful, consistent aftercare, that they carry a higher risk of migration or rejection than ordinary piercings, and that removal — if it comes to it — should be done by a professional and may leave a small scar. A disclosure line and a signature complete a record that the client went in with eyes open. Use it specifically for dermal and surface work, where managed expectations prevent most disappointment. It’s free, brand-styled, and protects both the client’s understanding and your reputation.

Form fields

Everything the Dermal & Surface Piercing Consent Form above collects — 10 fields, so you can see exactly what it captures before you make it your own.

Dermal & Surface Piercing Consent

  • Your name

    Name Icon
    Name
  • Email address

    Email Icon
    Email
  • Date of birth

  • Placement

    Short Answer Icon
    Short Answer
  • Please note any skin conditions, medications or relevant history

    Long Answer Icon
    Long Answer
  • Higher maintenance

    Consent Icon
    Consent
  • Migration & rejection

    Consent Icon
    Consent
  • Removal

    Consent Icon
    Consent
  • Honest & of age

    Consent Icon
    Consent
  • Signature

    Signature Icon
    Signature
Use Template Arrow Right Icon

Template FAQs

Common questions about the Dermal & Surface Piercing Consent Form — what it captures, when to use it, and how to make it your own.

How are dermal and surface piercings different?

They sit flat on or just under the skin rather than through a fold, which makes them heal more slowly, demand careful aftercare, and carry a higher risk of migrating or being rejected by the body.

Why have a separate consent for them?

Because their higher maintenance and rejection risk mean clients need to understand what they’re committing to. A dedicated consent sets honest expectations and records that the client accepted them.

What does rejection or migration mean?

The body can gradually push a surface or dermal piercing out, or it can move from where it was placed. It’s more common with these piercings than standard ones, which is why the consent spells it out.

How are dermals removed?

Removal should be done by a professional, and the form notes it may leave a small scar. Setting that expectation up front means clients aren’t surprised if they later decide to remove it.

Should every dermal client sign it?

Yes — before the piercing. It records that they understood the particular risks and maintenance of surface and dermal work, which protects both them and your studio.

Is the form free?

Yes. It’s free with a Fun Forms account, fully brandable, and ready for clients to sign on a tablet before their appointment.