Eyelash Lift Intake

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If under 18 - parent/guardian must sign below giving permission to have this service done

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PLEASE READ AND UNDERSTAND THE FOLLOWING:

 I understand there are risks associated with having a lash lift, lash tint. I further understand that as part of the procedure, eye irritation, eye pain, eye itching, discomfort, and in rare cases allergic reaction, eye infection, or blurriness could occur. I agree that if at any time I am uncomfortable with the lash lift, lash tint treatment, I will inform the
technician and she will gladly rectify the problem, including ending the session.

 I understand and consent to having my eyes closed and covered for the duration of the procedure.

 I understand that your natural lashes will begin to grow out (everyones growth cycle for lashes is different)We loose about 3 lashes per day so new ones can grow in. Your lashes may twist or turn due to the growth process as the lift grows out. Its best to just let them continue to grow and then you can repeat the process again. As well some clients lashes do not lift as much the first time but do lift more the second time. This again is due to your lash cycle and depending where you are in it when you get lifted that day , and depending on your length and size lashes. Every lift and person is different and therefore no lash lift will be the same.

 You must prepare your eye area prior to your arrival. Eyelashes and should be clean,dry, and free of mascara, makeup, and oil residue. There may not be left over extensions. If you attend your appointment without proper preparation, Feel The Heal cannot guarantee lasting or satisfactory results and there is no return on purchase.

 For optimum results avoid water, steam, mascara, and other skin care products around your eye area for 24 hours after the application.

 There are no guarantees for the length of time your lash lift, lash tintwill last. I understand the aftercare instructions and will do my part to maintain my eyelashes . I understand that there are many
factors that may affect the life of the lash lift, lash tint, such as water and moisture contact, oils, weather conditions, and activities involving exposure to high temperatures.

 We strongly suggest not getting a lash lift, lash tint, and/or eyebrow tint if you: are pregnant, nursing, have chronic dry eye, conjunctivitis, damaged lashes or lashes with gaps, eye infections, trichotillomania, have recently undergone chemotherapy or have extremely short natural lashes. You need to wait a year after having Lasik or blepharoplasty surgery.

 I give Feel The Heal permission to use before and after photos of me,my face and eyes for advertising purposes

I acknowledge that the results of lash lift, lash tint, do vary, and that no guarantees of specific results are offered or implied. Feel The Heal will not refund or credit any amount of money because of a client’s unhappiness with their final results. I take sole responsibility for any reaction I may have, staining of clothing and/or personal belongings. I agree to hold Feel The Heal and all authorized representatives harmless from any liability involved in the lash lift, lash tint .Feel The Heal and their staff have explained this procedure to me and all my questions, if any, were answered. I have reviewed and completely understand all the information at www.Feeltheheal.com, including this form.

If you think you may have allergies to a lash lift or to Tint you will let the therapist know so that you can get a patch test done. This must be done 48 hours prior to your appt. The test must be done in the office therefore you must schedule a patch test. If you decide on day of your appt that you want to take the patch test a $25 appt fee is charged as you were told it must be done within 48 hours of appt. If not you waive the patch test you are aware of the consequences if you are allergic and do not hold Feel The Heal responsible for any allergic reactions after the procedure is done. *

I waive the patch test I would like to take a patch test ( must schedule with the office within 48 hours of appt)

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Feel free to upload a CLEAR photo of each eye closed to make sure ahead of appointment that you are a good candidate for lash lifting, if you show up and you are not a candidate you may be charged a cancellation fee. If you have too Short of lashes, lashes with extensions still on or unhealthy lashes you may not be a candidate.

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LASH LIFT AND LASH TINT AGREEMENT AND CONSENT FORM

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