• BROW LAMINATION

  • Consent Form

  • CLIENT INFORMATION

  • Date of Birth:
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.

  • MEDICAL INFORMATION

  • Do you have any known allergies (including skincare or cosmetic products)?
  • Are you currently taking any medications (oral or topical), supplements, or over-the-counter drugs?
  • Do you have any history of skin conditions (e.g., eczema, dermatitis, psoriasis) or eye conditions (e.g., conjunctivitis, styes)?
  • Are you currently pregnant or breastfeeding?
  • Have you recently undergone any cosmetic procedures (Botox, microblading, chemical peels) in the brow area?

  • TREATMENT INFORMATION

  • Procedure Description:
    Brow lamination is a semi-permanent treatment that involves chemically straightening the brow hairs to give them a fuller, smoother appearance. The process includes reshaping and setting the brow hairs in place with a gentle perm solution.
  • Expected Results:
    Brow lamination is designed to enhance the appearance of brows by making them appear thicker and more structured. Results typically last 4-6 weeks, but maintenance treatments may be required to maintain the look.

  • Possible Side Effects:

  • I understand that brow lamination may cause side effects, including but not limited to:

    • Redness or irritation around the brow area
    • Itching or swelling (rare)
    • Allergic reactions to the chemicals used
    • Dryness or brittleness of the brow hairs
    • Temporary hair loss or thinning (rare)

  • Contraindications:

  • Brow lamination may not be suitable for individuals who:
    • Have sensitive or easily irritated skin
    • Have a history of allergic reactions to brow or lash treatments
    • Are currently experiencing active skin infections, wounds, or acne near the brow area
    • Have very thin or sparse brow hair

  • CLIENT ACKNOWLEDGMENTS

  • No Guarantees:

  • I understand that while brow lamination can improve the appearance of my brows, results are not guaranteed and may vary. I may require multiple treatments to achieve desired results.

  • Understanding of Procedure:

  • I have been informed about the nature of the brow lamination procedure, the expected results, and the potential risks. I have had the opportunity to ask questions, and all of my questions have been answered to my satisfaction.

  • Post-Treatment Care:

  • I agree to follow the post-treatment care instructions provided by my practitioner, including:
    • Avoiding getting the brows wet for at least 24 hours after treatment
    • Avoiding direct sun exposure, steam, and excessive sweating for 48 hours
    • Avoiding makeup or brow products for 24-48 hours post-treatment
    • Using a brow conditioning serum to maintain the health of my brows

  • Medical History Disclosure:

  • I confirm that I have provided accurate and complete information about my medical history, including allergies, medications, and recent treatments. I understand that withholding information may increase the risk of complications.

  • Pregnancy/Nursing Statement:

  • I can confirm that I am not pregnant, breastfeeding, or trying to become pregnant. I understand that brow lamination should be discussed with a health care provider during pregnancy.

  • PHOTO CONSENT

  • I consent to have photos taken for the following purposes:

  • CONSENT TO TREATMENT:

  • By signing below, I acknowledge that I have read and fully understood the content of this consent form. I voluntarily consent to undergo brow lamination, knowing the potential risks, benefits, and alternatives. I also understand that I am responsible for adhering to the post-treatment care instructions provided by my practitioner.
  • Date:
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: