Lash Lift + Brow Lamination
Date of Birth
Agree to before and after photos to be taken and used for social media/marketing purposes or to be included in your Lash Artist's portfolio.
Are you pregnant or nursing?
Have you had, or are prone to, any of the following? Please check all that apply.
Recent Eye Surgery
Previous Adverse Reactions To Eye Treatments
Allergies To Adhesives, Glues, Or Bonding Agents
Allergies To Acetone Or Alcohol
Allergy To Perm Solutions
Inflammation Of The Skin
None Of The Above
Have you had a Lash Lift, Lash or Brow Tinting, or Brow Lamination performed before? Please check all that apply.
None Of The Above
Did you experience irritation after any of these treatments? If yes, please explain
I understand that in rare cases eye irritation, itching, discomfort or eye infection may occur. This is why answering all the above questions accurately and to the best of your knowledge is so important.
I understand and agree to follow the aftercare instructions provided by my technician. And furthermore, that failure to do so may cause an undesirable result.
I understand that I will need to be lying in a reclined position for a duration of up to 75 minutes. Any medical conditions that might be aggravated by lying still for a prolonged period of time may mean that I will not be able to have the procedure performed.
If getting a Lash Lift, I understand that opening my eyes at any point during the procedure is not recommended, and may cause an undesirable result. I agree to keep my eyes closed throughout the procedure unless instructed to open them by my technician.
This agreement will remain in effect for this procedure and all future procedures conducted by my technician or any other technician conducting business at Fiore Beauty + Wellness. I understand that this agreement is binding and that I have read and fully understand all the information above. I represent that I am over the age of 18 years. If below 18 years of age a parent or guardian must also sign this form.
I release my technician and Fiorè Beauty + Wellness from all liability associated with this procedure. There are no guarantees for how long the service will last, but on average it lasts between 6-8 weeks. Fiorè Beauty + Wellness is not responsible for any technician errors. I understand that I have been advised to follow the aftercare protocol from my technician so as to avoid any discomfort or adverse side effects after the procedure has been completed.
TECHNICIAN'S NOTES + PROCESSING TIMES:
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