Un-do your tattoo.Make way for a new piece of art or erase it altogether. Name * First Name Last Name Email * Phone * (###) ### #### Description of tattoo you're wanting removed * Location of tattoo on body and size in approximate square inches (to be measured in exact dimensions by laser technician at first session) Please list any of the following that pertain to you: Pregnant, breastfeeding, Accutane in the last year, taking medications that make you more sensitive to light, seizures triggered by light, immunosuppressive disorder or medication, medications that alter the wound-healing response, current chemotherapy/radiation, iron supplements, anticoagulants, history of keloid scarring, history of squamous cell carcinoma or melanoma: * Is your primary occupation a professional tattoo artist? If so, please list your shop: By checking this box I understand that full and total removal is not guaranteed nor is the number of sessions required for maximum ink removal due to a variety of variables. * I understand Thank you for inquiring about Laser Tattoo Removal! Our lead Laser Technician will review your request and respond to you promptly with a quote and next steps for removal. -Chariot Tattoo & Removal