Colour Correction Consent Form

Chemical Treatment & Color Correction Consent Form

Borne Studios - Brandon Borne
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Have you ever bleached your hair?

YesNo
Have you ever had a reaction to hair colour or a hair treatment?

YesNo
When and what was your last chemical hair service? (Bleaching, Perm, Full-Colour, etc..)
Have you used any of the following?

Box dyesSemi-permanent hair colourTemporary hair colour spraysRoot touch-up kitsHair lightening or highlighting kitsKeratin or smoothing treatmentsHair styling tools (e.g. flat irons, curling irons)Relaxers or chemical straightening treatmentsAny other at-home hair coloring or treatment products
What is a Colour Correction?

Colour correction is a specialized hair treatment aimed at resolving undesired hair color results. This process involves adjusting or neutralizing tones to achieve the desired shade. It may require multiple sessions depending on the starting color and desired outcome.

Effects of Previous Treatments:

Previous hair treatments, such as perms, relaxers, box dyes, professional hair color, highlights, balayage, chemical straightening, and heat styling (including flat irons and curling irons), can significantly influence the results of color correction and affect the overall health of your hair. These treatments may alter hair texture, porosity, and strength, impacting how hair color behaves during correction processes. It's crucial to inform your stylist about all past treatments to ensure an accurate assessment and to minimize potential risks.

Potential Risks:

Color correction treatments may involve multiple processes, including the use of chemicals and hair lightening agents. Color correction treatments involve significant changes to the hair's color, which can pose several risks, including:
- Hair Damage
- Dryness and Porosity
- Uneven Results
- Hair Texture Changes
- Allergic Reactions
- Hair Breakage
- Scalp Irritation
- Further Maintenance & Follow-up Appointments
I have read and agree to risks stated above:*

YesNo
Price Breakdown:

Colour Correction services start at $120/150 per hour.

The stylist will evaluate and determine the current state and needs of your hair, which will reflect the final price of the service. Additional treatments such as haircuts, treatments, or hair products may be recommended to achieve the desired results and maintain hair health, and these are priced separately.

Additional hair treatments $45

Haircut $80
I agree to the pricing agreement:*

YesNo
I acknowledge that:
- Proceeding with a chemical treatment against my stylist's advice may lead to additional damage
- Chemical treatments will only be performed after an evaluation has been done by my stylist
- Duration of service may vary from person to person, service may take 4-7 hours or more
- Inspiration photos are only meant to act as a reference for my stylist
- Having existing colour will affect the lift of the hair
- Having any previous chemical or colour treatments may result in hair damage after lightening the hair
- There are NO refunds. All services are final sale. After service is complete, price is non-negotiable
I acknowledge and agree to the above statements*

YesNo
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Chemical Treatment & Color Correction Consent Form