Although every precaution will be taken to ensure my safety and wellbeing before, during and after my lash extension application, I am aware of the following information and possible risks.
I understand that lash extension services have some inherent risk of irritation to the orbital eye area, including the eye itself, and could result in stinging and burning, blurry vision and potential blindness should the adhesive enter the eye or should an allergic reaction occur.
I understand that some irritation, itching or burning may occur on the skin if the bonding agent. If this occurs I agree to let my service provider know immediately.
I understand that if the bonding agent comes into contact with my eye, my eye will be flushed with water and I will be assisted in seeking medical attention immediately.
I understand that this is a semi-permanent procedure, as my natural lashes will continue to grow and fall out normally, making touch-up or "fill" appointments necessary to maintain the original look achieved by replacing the lashes that have fallen out.
I understand that while every attempt will be made to provide me with the length and fullness I have chosen, my final result may not be what I initially envisioned.
I understand that it is imperative that I disclose all of the information requested on the intake portion of this form.
I have cited all conditions and circumstances regarding my health history, medications being taken, and any past reactions to products or relative medications.
I agree that if I experience any of ill effects with my lashes that I will contact the licensed eyelash extension professional that performed this procedure.
I understand that if I experience ill effects it may be beneficial to have the eyelashes removed.
I understand and agree to the after-care instructions provided by the licensed eyelash extension professional for the use and care of my eyelash extensions. I realize and accept the consequences of failure to adhere to these instructions and I understand that it may cause the eyelash extensions to fall out and/or decrease the time the lashes will last.
I understand and consent to having my eyes closed and covered for the duration of approximately 60-120 minute procedure. I understand that times may vary depending on the type and amount of eyelashes applied.