Although every precaution will be taken to ensure your safety and wellbeing before, during and after your lash extension application, please be aware of the following information and possible risks.
I understand that lash extension services have some inherent risk of irriation to the orbital eye area, including the eye itself, and could result in stinging and burning, blurry vision should the adhesive enter the eye, or should an allergic reaction occur.
I understand that some irritation, itching or burning may occur on the skin if the bonding agent comes into contact with it.
I understand that if the bonding agent comes into contact with my eye, my eye will be flushed with water and I will be assissted in seeking medical attention immediately.
I understand that this is a semi-permanent procedure, as my natural lashes will continue to grow and fall out normally, making touch-up or "fill" appointments necessary to maintain the original look achieved by replacing the lashes that have fallen out. Most clients require a fill appointment every 2-3 weeks.
I understand that it is imperative that I disclose all of the information requested in the client profile/health history.
I have cited all conditions and circumstances regarding my health history, medications being taken and any past reactions to products or medications.
I understand that additional conditions could occur or be discovered during the procedure which could affect my ability to tolerate the procedure.
I consent to "before and after" pictures for the purpose of documentation, potential advertising and promotional purposes.
This agreement will remain in effect for this procedure and all future lash extension procedures.
I understand that if I have any concerns I will address these with my technician. I give permission to my technician to perform the lash extensions procedure we have discussed, and will hold her and her staff harmless and nameless from any liability that may result from this treatment. I have accurately answered the questions above, including all known allergies, prescription drugs, or products I am currently ingesting or using topically. I understand my lash extension specialist will take every precaution to minimize or eliminate negative reactions as much as possible. In the event I may have additional questions or conerns regarding my treatment, I will consult the lash extension specialist immediately. I agree that this constitues full disclosure, and that it supersedes any previous verbal or written disclosures. I certify that I have read, and fully understand the procedure and accept the risks. I do not hold the lash extension specialist responsible for any of my conditions that were present, but not disclosed at the time of this procedure, which may be affected by the treatment performed today.