Referral Form

To be considered for tattoo removal resources, individuals must satisfy the established requirements and core criteria for services.

In addition to the referral form, we require a statement on official letterhead from the referring agent. This statement must confirm the successful completion of job development or rehabilitation and articulate how tattoo removal will positively influence the individual’s future prospects, once recieved we will reach out to the referral.

Administrative fees apply and there may be a waitlist.

Who are you referring