LASH LIFT CONSENT FORM

BROW LAMINATION 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.
Check all that apply to you:
Any medications
Other relevant information
Have you had a Brow Lamination or Eyebrow Tint applied previously?
Did you experience any reaction to theses treatments?
Please provide details of this reaction
I understand that in order to prolong my results, it is not recommended to wet my Brows for 24-48 hours post treatment (this includes sauna, steam, and exercise)
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.
Agreement: I request and consent to these procedures being carried out today without undergoing a sensitivity patch test. The sensitivity test, which if conducted, may indicate my sensitivity / allergy to the products. I understand the contents of this form and take full responsibility for my actions, thus absolving all other parties of their responsibilities, if any, associated with the supply of the products and services(s
SIGNATURE
DATE

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

BROW LAMINATION CONSENT FORM