Medical History
Please list the number(s) that apply to you:
1. I have sensitive eyes or a history of eye infections
2. I wear contact lenses (must be removed before service)
3. I have had recent eye surgery or use prescription eye drops
4. I have eczema, psoriasis, or open wounds near the eyes
5. I have had an allergic reaction to hair dye, lash tint, or adhesives before
6. I am pregnant or nursing