Lash Lift Consent & Waiver
Confirm your patch test choice, review aftercare and photo consent, and sign to complete your treatment record.
Full Name
*
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Appointment
*
-
Month
-
Day
Year
Date
Patch Test
*
I would like a patch test at least 24 hours before my appointment.
I am declining a patch test and accept responsibility for any reaction.
A patch test is recommended to identify potential allergies or sensitivities to the products used during the lash lift procedure. If you choose to decline a patch test, you accept responsibility for any adverse reaction that may occur.
I acknowledge that I have been informed of the potential risks and benefits of the lash lift procedure.
*
I agree
I understand that results may vary and that aftercare is essential for optimal results.
*
I agree
I confirm that I do not have any known allergies to the products used or have disclosed all relevant allergies.
*
I agree
I consent to the lash lift procedure and release Lab Lash & Beauty from any liability for adverse reactions.
*
I agree
I understand that by declining a patch test, I accept full responsibility for any allergic or adverse reaction that may occur as a result of the lash lift procedure.
I accept responsibility
Declaration: I have read and understood the above information. I confirm that all information provided is accurate and complete.
Signature
*
Date
*
-
Month
-
Day
Year
Date
Submit
Submit
Should be Empty: