Online Consultation

To receive a customized laser treatment plan, please submit the form below. Include as much detail as possible about the tattoo you are inquiring about. Please include 3 pictures of your tattoo – different angles and a close up are always helpful.

Full Name*
Age*
Address*
City / State*
Zip*
Contact Phone Number*
Your Email Address*
How did you find out about Clean Canvas More Art?*
What is your desired outcome with Laser Tattoo?*
- Partial Removal (Removing Part of Tattoo)
- Lighten Tattoo for New Work
- Complete Removal
How long have you had this tattoo?*
Please describe the tattoo. What is the image and colors in the tattoo?*
Where is your Tattoo located?*
Is this Tattoo a cover-up; Is there another Tattoo under the existing Tattoo? What is the image, colors and age of original tattoo?*
Has this tattoo been lasered before? If so when & how many treatments?*
Please provide three pictures of you Tattoo.
Photo 1*
Photo 2*
Photo 3*
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It is never a problem to
reschedule or cancel your
appointment but please give
24 hours notice to avoid
any cancelation or
rescheduleing fees
laserinfo@cleancanvasmoreart.com