• Joluxe consent form

  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Last lash appointment
     - -
  • Can Joluxe take photos of your eyes for our portfolio, consultation, future reference or marketing/ social media purposes?*
  • Do you have sparse or thinning lashes?*
  • Do you have any eye conditions?*
  • Do you have any skin conditions?*
  • Recent eye surgery or injury?*
  • Any know allergies to latex, adhesive or other cosmetics products?*
  • Medication affecting hair growth?*

  • I, the undersigned, understand that:


    Allergic Reactions: The glue, adhesives, or other products used may cause allergies, irritation, redness, swelling, or discomfort.


    Eye Infections: There is a risk of eye infection if proper aftercare is not followed.


    Other Unknown Reactions: Rare or unknown reactions may occur due to individual sensitivity.


    Damage to Natural Lashes: Improper care, rubbing, or certain health conditions may cause natural lashes to break or fall out.

    By signing this form, I confirm that:


    I have disclosed all relevant health conditions and allergies.
    I understand the potential risks involved in eyelash extension application.
    I consent to the application of eyelash extensions and associated products.

     

     

  • Date*
     - -
  • Should be Empty: