Coweta County, GA · Coweta County
Physician’s Certificate
Physicians use this certificate to document their agreement to supervise tattooing procedures and oversee health and safety at an establishment in Coweta County.
At a glance
- Issued by
- City of Coweta County · Coweta County, Coweta County, Georgia
- Notarization
- Not required: file this form without a notary.
- Official source
- coweta.ga.us
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This certificate records a physician’s agreement with a tattoo establishment to supervise its tattooing procedures and oversee health and safety compliance, including safe disposal of hazardous needles. It asks for the physician’s name, the establishment’s name and address, and the physician’s signature and date. The physician must attach copies of a medical license and a valid driver’s license.
Who needs it
A physician who has agreed to supervise tattooing procedures at an establishment in Coweta County needs to complete and sign this certificate.
How to submit it
Submit it to the Coweta County Business and Alcohol License Department; the document does not provide an address, email, or portal.
About notarization
This certificate is signed and dated without a notary; the physician attaches copies of a medical license and a valid driver’s license.
How to submit this form
- 1
Download the Certificate
Download the Physician’s Certificate for the tattoo establishment.
- 2
Complete the Certificate
Enter the physician’s name, establishment name and address, then sign and date the certificate.
- 3
Attach License Copies
Attach a true and accurate copy of the physician’s medical license and a copy of a valid driver’s license.
- 4
Submit to the County Department
Submit the completed certificate to the Coweta County Business and Alcohol License Department.
Frequently asked questions
- What does the Physician’s Certificate document?
- It documents a physician’s agreement to supervise tattooing procedures at an establishment and oversee health and safety compliance, including hazardous needle disposal.
- What attachments does the physician need?
- The physician must attach a true and accurate copy of their medical license as Exhibit A and a copy of a valid driver’s license as Exhibit B.
- Do I need a notary for the Physician’s Certificate?
- No. The physician signs and dates the certificate without a notary, and attaches copies of a medical license and a valid driver’s license.
- How do I submit the Physician’s Certificate?
- Submit it to the Coweta County Business and Alcohol License Department. The document does not give an address, email, or online submission method.