Brow Lamination Consultation Form

Brow Lamination Consultation Form

This is a brow lamination consultation form that clients must take so that I can decide whether or not the treatment is suitable, depending on skin type, and any medical conditions. All information is confidential. NOTE: clients may be turned down if there is a high risk of carrying the chemical treatment.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date of Appointment

MonthDayYear
Date
Skin Type
Do you have any of the following conditions?

Other
Are you using any active skincare ingredients?

Other
Do you suffer from allergic reactions?
BEFORE APPOINTMENT
- Avoid skin treatments such as chemical peels, retinols, AHA/BHAs for at least 2 weeks before the appointment
- Allow your brows to grow out as much as possible for the best shaping and lamination results
- Not suitable for pregnant/breastfeeding women
- Avoid sunburn or tanning as irritated skin can become sensitive
- A patch test is required 24-48 hours before apppointment to ensure your skin reacts well to the products
AFTER APPOINTMENT
- Keep brows completely dry for the first 24 hours. Please avoid washing, sweating, steam or humidity
- Do not rub, touch or scratch the brow area after treatment.
- Brush brow upwards daily to maintain lifted shape
- Apply brow oil or conditioner daily after the first 24 hours to keep hairs healthy and hydrated
- Avoid exfoiliants and any active skincare on the brow area for 5-7 days
- Schedule next appointment after 6-8 weeks
SIDE EFFECTS

During the treatment there are potential side effects, but are not limited to:
- Redness
- Inflammation
- Swelling
- Itching
- Tingling
These side effects are normal symptoms and typically subside within 24 hours. If it progresses further it could be a sign of an allergic reaction in which medical care is advised.
I understand and accept the following statements;
CONSENT AGREEMENT

- I understand that on rare occasions allergic reactions may still occur after providing all my known allergens upfront.

- I understand that I need to follow the instructions provided to me by the professional before, during and after the procedure.

- I confirm I am happy with a patch test on the day of the procedure if I cannot take it 24-48 hours prior to the appointment.

- I understand that there will be no refund to be issued.

- I've read and reviewed this form thoroughly before submission to the best of my knowledge and ability.

- I confirm that all information given is accurate and true
Final Consent:
Signature
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Signature
Should be Empty: