Please send us a picture of your DNI, NIE or Password. If you have trouble sending it with this form, you can also send it later by e-mail: info@tattoolleida.com

2. MEDICAL INFORMATION:

Do you have any allergies or skin diseases?
YesNo

If you answered yes, specify which ones:

Do you take any medication that affects blood clotting or do you have any heart disease?
YesNo

If you answered yes, specify which ones:

COVID-19:
As a temporary measure due to the current situation, we need this additional information in order to assist you:

Have you had a fever above 37.5º, cough or respiratory distress in the last 14 days?
YesNo

Have you noticed loss of sense of taste or smell in the last 14 days?
YesNo

Have you had contact with someone with a positive diagnosis or presumption COVID-19?
YesNo

Have you passed COVID-19 disease?
YesNo

If so:
I have passed the quarantine

3. DATA PROTECTION

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