LASH LIFT CONSENT FORM

WAX CONSENT FORM
Client Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Phone Number
Format: (000) 000-0000.
Email
example@example.com
This intake forn must be filled out prior to your appointment day/time. If I am unable to perform the service(s) requested, I will contact you for further consultation.
Are you currently using any of the following?
Have you used any of the above in the last 4 weeks?
Check all that apply to you:
Any medications
Any allergies
I understand that waxing may cause temporary redness, soreness, bumps, and itching.
I understand that if I begin use, or are currently using one of the products listed above on my skin and do not inform Honeyb.beautysd, I may have adverse reactions to wax including but not limited to skin removal, redness or swelling.
I have answered the questions above including all known allergies or prescription drugs to the best of my ability and take full responsibility for any adverse reactions that may occur, thus absolving all other parties of their responsibilities, if any.
SIGNATURE
DATE

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

WAX CONSENT FORM