Appointment Request Form

This form provides you with a convenient way to request an appointment. If you are returning for a second tattoo removal appointment, we’re glad to have you back. If this is your first visit than this will be a free initial consultation.

780-435-2874 Don’t hesitate to call us for any reason (during our hours of operation.)



Please provide your full name




Contact phone number






Email address (for appointment confirmation)




Type of appointment






What dates and times will work for you? Do you want us to call or email you?