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Body Art
Health Card Requirements
Per the Regulations Governing the Sanitation and Safety of Tattoo Establishments and Regulations Governing the Sanitation and Safety of Body Piercing Establishments, all tattoo, permanent make-up and body piercing operators must possess a valid body art health card.
In order to obtain
a health card, the operator or technician must meet the following requirements:
- Free of communicable
diseases
- A minimum of 18 years of age
- Have a minimum
of six months experience or training
- Obtained a score of at
least 80 percent on a written examination
- Tested for
tuberculosis by skin test or chest x-ray
- Immunized against
hepatitis A and B
- Possess current certification in Preventing Disease Transmission
New and Late Renewal Health Card Instructions
Application Instructions
- Complete the application in person at the Henderson Public Health Center (map & directions)
- Applications are accepted Monday - Thursday between 8 a.m. and 4:30 p.m. except on holidays. TB skin tests will be available on Monday and Tuesday only.

- Submit the following with the application:
- Letter of experience (new applicants only). The letter must include:
- Date, facility name, facility address and phone number.
- Dates of previous employment and job duties (e.g. tattoo, body piercing and/or permanent makeup).
- Signature of owner or manager of facility
- Note: If operator was self-employed, a copy of their business license is accepted as proof of experience/training.
- Letter of employment/apprenticeship (new applicants only). The letter must be from the owner of a permitted facility where they will be working and include:
- Date, facility name, facility address and phone number.
- Applicant's job duties (e.g. tattoo, permanent makeup and/or body piercing).
- Signature of owner or manager of facility.
- Applicants will process in Health Cards on the date of application. (Visit the Health Card webpages for more information regarding fees, immunizations, and identification requirements.)
- A Tuberculosis (TB) test will be administered and applicant must return on the specified date or they will not be able to operate until a new skin test is administered and read. If you have a history of a positive TB test, bring the appropriate documentation.
- When TB test is completed operators who have provided required letters will receive a 30 day temporary; apprentices will receive a temporary once the written exam is passed.
- An appointment will be made to take the written Sanitation Exam. A non-refundable fee of $118 payable by cash, money order, Visa or Mastercard must be paid prior to taking exam. A missed appointment fee of $239 will be charged for applicants who miss their scheduled appointment without advance notification.
Sanitation exam
Immunizations and Training
After TB test is completed applicants have 30 days to begin their Hepatitis B vaccination series and take the required American Red Cross training.
Early Renewal Health Card Instructions
Health cards are valid for two years and may be renewed within 60 days prior to expiration date.
Application instructions
- Complete the application in person at the Henderson Public Health Center. (map & directions)
- Applications are accepted Monday - Thursday between 8 a.m. and 4:30 p.m. except on holidays. TB skin tests will be available on Monday and Tuesday only.

- Visit the Health Card webpages for more information regarding fees, immunizations, and identification requirements.
- Records will be reviewed for completion of hepatitis B series and valid Preventing Disease Transmission (PDT) training card. Temporary cards will be issued as follows:
- Need one hepatitis B vaccine – 10 day temporary card
- Need two hepatitis B vaccines – 45 day temporary card
- Need PDT card – 30 day temporary card
- When all requirements have been met the permanent health card will be issued.
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