Eyebrow Lamination Waiver

  • Brow Lamination + Shaping Waiver
    Thank you for booking your eyebrow service with me, Ashlee Tomlin!

    Please fill out this waiver form prior to your appointment to ensure all information is current. This will allow time to review your answers and reach out if there are any contraindications that could affect your service.

    Please Note: Brow Lamination is a process of reconstructing the brow hairs to keep them in a desired shape. Brow Lamination lasts approximately 6-8 weeks; however this will differ person to person based on factors like skin type, hair growth rate, etc. 

    All information that is shared in the Brow Lamination + Shaping Waiver will remain confidential to protect your privacy and comfort.
    Thanks again, see you soon! 

  • Format: (000) 000-0000.
  • What age group do you fall under?*
  • How did you hear about me?*
  • HEALTH CHECK: Currently have no viruses such as COVID, the Flu, a Cold, a Fever, Cold Sores, Warts, or Bacterial Infection. If my health changes before or on the day of my appointment, I will reach out to the Esthetician, Ashlee Tomlin (@amtskin), about rescheduling.*

  • WAXING PRECAUTIONS: PLEASE READ

    • If you currently have: a sunburn, irritated skin, or an open wound- please reschedule.
    • If you are currently pregnant, please note the skin will be more sensitive and irritation can occur. Tweezing is recommended.
      Important Note: Women may experience extra sensitivity to waxing a week prior to their menstrual cycles.
    • It is recommended you wait 7 days if you have recently had: a facial, used OTC facial scrubs or chemical exfoliants or retinol– please inform your service provider. Tweezing may be recommended. 
    • If you have had a Light, Medium, or Deep Chemical Peel recently- please wait 2-4 weeks depending on the depth before receiving a waxing or tweezing service. Let your service provider know of any recent treatments. You may need to obtain your physician’s permission/ sign off before getting waxed.
    • If you have received any recent Cosmetic or Reconstructive Surgery and/or Laser Skin Treatment within the last year. Clients will need to obtain and bring a physician’s consent letter before waxing.
    • If you have a history of Cold Sores/ Fever Blisters, it is recommended to take antiviral medication for 7 days before your appointment. Consult your Doctor.
      Let your service provider know if you have a history of Cold Sores/ Fever Blisters. Waxing and Tweezing can trigger a flare up. 
    • If you are Diabetic, please note waxing can cause irritations and poor wound healing. Consult your Doctor before getting waxed. Tweezing may be recommended.
    • If you are currently using any prescription Acne medications, it is not recommended to receive a waxing service due to high skin sensitivity. Clients should be off any prescription Acne medication for a minimum of 3 months prior to receiving a waxing service. This also includes steroids and prednisone. Clients should be off Accutane for at least 12 months.
    • If you are currently using Hydroquinone. If your prescription is finished, please wait 10-14 days before getting waxed.
    • If you take: Blood-Thinning Medications, Antihistamines, Cortisone, Thyroid Medication, or Blood Pressure Medications it is not recommended to receive a waxing service due to high skin sensitivity. 
    • If you are taking birth control, HRT, or antibiotics please note your skin may be more sensitive to waxing. Tweezing is recommended.
    • If you take Medications for an Autoimmune Disease i.e. Lupus,
      Waxing and tweezing can trigger a flare up and it is not recommended.

     

  • BROW LAMINATION + SHAPING PRECAUTIONS: PLEASE READ

    Brow Laminations + Shapings are NOT recommended if you are or have:

    • A Sunburn
    • Pink Eye
    • Scar Tissue in the Treatment Area
    • Pregnant/ Breast Feeding
    • Currently Using Prescription Skincare i.e. Accutane, Tretinoin, Hydroquinone 
    • Recently Used: Retinol, AHA, BHA, Other Exfoliating Products.
      (Side Note: Please stop using ALL exfoliating products 1 week prior to your brow lamination service.)
    • Skin Conditions such as: Psoraisis, Eczema, Rosacea 
    • Any Recent Chemical Peels. Please wait 4-6 weeks post peel to get a Brow Lamination. 
    • Diabetes
    • Current or Recent Chemotherapy Treatments (You will need Doctor's approval note/ signature).
    • Prescription Medications that Thin the Skin (topical or ingested)
    • Irritation or Allergy to Perm Solution
    • Recent Microblading/ Other Permanent Brow Makeup
      (You must be healed for 8 weeks before getting a Brow Lamination.)

    Brow Lamination is a process of reconstructing the brow hairs to keep them in a desired shape. To maintain the shape post service, it will be the Client's responsibility to brush them daily to achieve the desired look day to day.

    Do NOT get any water on your freshly laminated brows for a minimum of 24 hours. If you do, this will affect your results. 

    Do NOT get any makeup near the treated area for 24-48 hours.
    This includes: brow gel, concealer, foundation, eyeshadow and so on. 

    While safe, it is important to note that this service does have some inherent risk of irritation to the area around the eyebrows- including the eye itself. This could result in stinging, burning, blurry vision, and potential blindness if the product solution enters the eyes.

    Please understand that even with all precautionary measures taken before and during the service, there is still a risk of injury.
    Redness and mild sensitivty is normal. If discomfort continues after your service, please contact your medical provider at your own expense. 

    To minimize any issues, it is important to follow ALL aftercare instructions provided by your practioner. Failure to follow through on aftercare may results in issues such as: irritation, ingrown hairs, bacterial infection, rashes, redness, and/or scarring.

  • PLEASE READ AND CHECK ALL THE BOXES:*
  • Brow Shaping: Do you have any allergies to waxing ingredients? Check all that apply. Tweezing may be recommended.*
  • Have you ever been to an Esthetician or a Dermatologist before?*
  • How long ago was your last visit?*
  • How would you describe your skin type?*
  • How do you feel about your current skin care routine?*
  • Do you currently use any skincare products that contain active and/or exfoliating ingredients? Example: Glycolic Acid, Salicylic Acid, Benzoyl Peroxide, Lactic Acid, Retinol, etc.*
  • To maintain the integrity of your skin, it is important to stop all active and/or exfoliating products 3 days prior to your scheduled facial appointment. Please select "I agree" to confirm you have stopped all active and/or exfoliating products prior to your appointment.*
  • Are you taking or have you taken acne medication before?*
  • Are you taking acne medication? If you answered yes: Acne medication can make a person's skin extremely sensitive while in use. If you are currently on any acne medication OR you stopped but haven’t been off it for at least 6 months, your requested eyebrow service will need to be altered or postponed to ensure the safety of your skin.*
  • Are you currently or have you ever experienced any of the medical or cosmetic procedures before? (check all that apply)*
  • Do you have any other medical concerns that have not been covered in this form?*
  • Celluma LED Light Therapy is a modality that is offered in my treatment room. While this treatment is very safe, it's important to note not everyone is a candidate for this modality. Listed below are contraindications to the LED modality. Select all that apply to you. Your service provider will adjust your treatment if needed.*
  • Do you regularly workout?*
  • How would you like to enjoy your facial with Ashlee today?*
  • I'm currently building my portfolio. Would it be okay to take before and after photos / videos of the treatment?*

  • Consent and Release:

    The Brow Lamination + Shaping Waiver form has been completed truthfully and to the best of the Client’s knowledge. By reading through and completing this form, the Client declares the answers given are to the best of their knowledge and they understand the precautions mentioned.
    The Client agrees that they have no medical or cosmetic condition(s) that may affect the brow service. The Client understands the procedure and accepts the risks. False or misleading answers can lead to complications and/or undesirable results.

    The brow services received at BB Meme Salon Hillcrest are voluntary. The Client understands the risks and consents to Ashlee Tomlin providing the service.
    This agreement releases Ashlee Tomlin, Koji Kuninaga, and BB Meme Salon Hillcrest from any potential conditions that may arise after treatments that were not previously disclosed at the time and day of service. This agreement will remain in effect for the duration of the service and any proceding brow laminating services in the future with Ashlee Tomlin (Licensed Esthetician). 

    By Signing below, the Client gives their full consent and understanding to the service along with its precautions and does NOT hold Ashlee Tomlin, Koji Kuninaga, and BB Meme Salon Hillcrest responsible for any conditions that were present or may arise post service.

  • Date*
     - -

  • Thank you so much for taking the time to fill out the form.
    Looking forward to seeing you!

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