• KOREAN LASH LIFT CONSENT & ACKNOWLEDGEMENT

  • Format: (000) 000-0000.
  • CONSENT & ACKNOWLEDGEMENT

    BY SIGNING BELOW, I ACKKNOWLEDGE & UNDERSTAND THE FOLLOWING: 

    • LASH LIFT & TINT TREATMENTS INVOLVE THE USE OF CHEMICAL SOLUTIONS NEAR THE EYES.
    • WHILE GENERALLY SAFE, THERE ARE POTENTIAL RISKS, INCLUDING IRRITATION, REDNESS, ITCHING, DRYNESS, SWELLING, OR ALLERGIC REACTIONS.
    • I UNDERSTAND THAT RESULTS WILL VARY DEPENDING ON MY NATURAL LASH LENGTH, THICKNESS, & OVERALL HEALTH.
    • I UNDERSTAND THAT MY EYES WILL REMAIN CLOSED & COVERED FOR THE DURATION OF THE PROCEDURE.
    • I CONFIRM THAT I HAVE DISCLOSED ALL ALLERGIES, SENSITIVITIES, & MEDICAL CONDITIONS THAT MAY AFFECT THIS TREATMENT.
    • I UNDERSTAND THAT FAILURE TO DSCLOSE RELEVANT INFORMATION MAY INCREASE THE RISK OF ADVERSE REACTIONS
    • I AGREE TO PROCEED WITH THE TREATMENT AT MY OWN RISK

    LIABILITY WAIVER

    • I AGREE THAT IF I EXPERIENCE ANY IRRITATION OR ADVERSE REACTION, I WILL CONTACT MY TECHNICIAN IMMEDIATELY.
    • IF I CHOOSE TO SEEK MEDICAL ATTENTION, I UNDERSTAND IT WILL BE AT MY OWN EXPENSE
    • POIEMA BROWS IS NOT LIABLE FOR ANY ADVERSE REACTIONS OR UNDESIRED RESULTS DUE TO WITHHELD OR INACCURATE INFORMATION

    AFTERCARE AGREEMENT

    • I AGREE TO FOLLOW AFTERCARE AS INSTRUCTED
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