• Lash Extension Consultation Form

  • Client Details

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  • Have you had lash extensions applied before ?*
  • Do you wear glasses?*
  • Do you have frequent eye irritation, itching, or watery eyes?*
  • Have you had eye surgery in the last six months?*

  • *Eyelash extensions require medical tape and adhesives that may contain acrylic or latex.

  • Are you allergic to latex?*
  • Are you allergic to acrylic?*

  • PLEASE CHECK ANY OF THE FOLLOWING THAT MAY APPLY TO YOU:

  • EYE RELATION*
  • HEALTH & LASH HISTORY*
  • Date*
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