A. So that the operator/technician can properly evaluate the client’s medical condition for receiving a body art procedure and not violate the client’s rights or confidential medical information, the operator or technician shall ask each client to complete a written questionnaire in essentially the following form:

In order for us to assist you in the healing of your body art procedure, we ask that you disclose if you have or have had any of the following conditions:

1. Diabetes;

2. History of hemophilia (bleeding);

3. History of skin diseases, skin lesions, or skin sensitivities to soaps, disinfectants, etc.;

4. History of allergies or adverse reactions to pigments, dyes, or other skin sensitivities;

5. History of epilepsy, seizures, fainting, or narcolepsy;

6. History of jaundice or hepatitis within twelve (12) months preceding the date of the operation;

7. Use of medications, such as anticoagulants, which thin the blood and/or interfere with blood clotting.

B. The operator/technician should ask the client to sign a release form confirming that the above information was obtained or that the operator/technician attempted to obtain the information but was refused by the client. The client should be asked to disclose any other information that would aid the operator/technician in evaluating the client’s body art healing process.

C. If the client discloses having within the past 12 months a history of jaundice or hepatitis, the procedure may not be performed.

D. Each operator and each establishment in which the operator is located shall keep records of all body art procedures administered, including date, time, identification, location of the body art procedure(s) performed, and operator’s name. All client records shall be confidential and be retained for a minimum of three years and made available to the department upon notification.

E. Nothing in this section shall be construed to require the operator to perform a body art procedure upon a client. [Code 2006 § 9-5-10. Ord. 2003-01, 1-14-2003].