The Hamilton County Health Department permits all tattoo and piercing facilities located in the county along with tattoo artists, tattoo apprentices, and piercing technicians who reside in Hamilton County.
**If your personal residence is not within Hamilton County, even if you work in Hamilton County, contact the State of Tennessee to be permitted, at 615-741-7206.**
Tattoo Artists, Piercing Techs, and Apprentices
There are three paths to becoming a tattoo artist in Tennessee:
Path 1: Apprenticeship
- Complete an approved Bloodborne Pathogen Class.
- The Alliance of Professional Tattooist Course in Sterilization
OR
- An approved local or state health department program. (See Important Links and Documents below)
- After completing the Bloodborne Pathogen Class:
- Print your certificate.
- Call the Hamilton County Health Department to make an appointment to complete your application at 423-209-8110
- Bring your VALID ID (Driver’s license, military ID, birth certificate, or passport) along with your Bloodborne Pathogen certificate.
- Payment of $140 will be due and can be paid by cash, card or check. There is NO fee for the piercing apprentice license.
- You must choose a mentor with at least three years of permitted experience with a Tennessee Tattoo License and agree that you will work together before signing up.
- If you are signing into a piercing apprenticeship, you will need a mentor with at least one year of permitted experience with a Tennessee Piercing Tech License.
- An apprentice must work under the artist for at least one year. In the event an apprentice changes mentors, they must inform the Health Department immediately
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Path 2: Out of State License
- If an artist from another state can provide proof of two (2) years of being permitted in another state, they can be permitted as an artist in Tennessee. Documents for proof include health licenses, business licenses, and/or tax records.
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Path 3: Work Under a Licensed Physician
- As stated in law, artists working under a licensed physician are exempt from Tennessee tattoo regulations.
- If a person is working under a licensed physician, the following form must be filled out and submitted to the Health Department: Tattoo Exemption Statement.
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Ink of Hope Act
The Ink of Hope Act went into effect on January 1st, 2026 which requires all tattoo artist to take the Ink of Hope Human Trafficking training. Apprentices upgrading to a tattoo artist or out-of-state artists becoming Tennessee tattoo artists must complete the course prior to being permitted. Currently licensed tattoo artists have until December 31st, 2028 to complete the training.
Contact us at [email protected] if you have any questions.
Ink of Hope Training:https://inkofhopetraining.org/
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Tattoo & Piercing Facilities
- Submit plans for approval of a new facility to the Environmental Health Department.
- Tattoo facilities are inspected four times a year while piercing facilities are checked once.
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Permit/License Renewals
- Payment for renewals are due December 31st of every year.
- If an artist or apprentice has a change of address, name, or shop contact the Environmental Health Department immediately at 423-209-8110.
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Important Links & Documents
Online License & Permit Renewals