LTR Patient Flow

Do you have problems with tattoo other than cosmetic objection? YesNo

Have you experienced any adverse reactions to lasers in the past? YesNo

Is there a chance you are pregnant at this time? YesNo

Have you had abnormal scarring in the past (keloid, etc.)? YesNo

Are you on any medications that would cause hypersensitivity to light? YesNo

Patient allergic to any medications or other substances? YesNo

Skin shows lingering signs of erythema, edema, scarring, or lesions. YesNo

The skin has abnormal pigmentation secondary to tattoo pigment YesNo

Patient appears to be a good candidate for laser tattoo removal. YesNo