Lash Lift Consent Form
Name
First Name
Last Name
Date
-
Month
-
Day
Year
Date
I understand there are risks associated with any type of service including the Lash Lift.
I understand that as with any procedure, skin or eye irritation, eye pain, eye itching, discomfort, orswelling could occur. There is also the chance of under curling, over curling or damage to the natural lashes.
I agree that if I experience any of these issues with my lashes that I will contact my professional and consult a physician at my own expense.
I agree to follow the care instructions provided by my professional for the care of my lifted lashes.
I understand there is no guarantee as to how long my lashes will remain curled.
I understand that I must not wet, steam or put mascara on the lifted lashes for 24 hours after service is performed.
I understand that in order to have the Lash Lift performed, I will need to keep my eyes closed for a duration of 40 to 60 minutes. I also understand that I will need to be lying in a reclined position and that if I have any medical condition that might be aggravated by lying still for this period of time; I will inform my professional of such condition and will not be able to have the procedure performed to my eyes. This agreement will remain in effect for the procedure and all future procedures conducted by the esthetician.
I understand that this agreement is binding and that I have read and fully understand all
information listed above.
I represent that I am over the age of 18 or if under the age of 18, I have a parent and/or guardian
signature below and that he or she consents to this procedure under these terms.
I also consent the esthetician to take photographs and display those photographs for advertising
purposes.
By signing below I agree and understand the instructions above and consent Vera to perform the lash lift on me:
Submit
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