Lash and Brow Tint Consent Form

Before tinting lashes or brows, gather the client's relevant history: contact lenses, medications, allergies and any past reactions. The client then acknowledges each known risk of tinting and signs to give consent.

Use this template

In the Claude connectors directory

Name

First Name

Last Name

Email

Phone Number

Address

Street Address

City

State / Province

ZIP / Postal Code

Do you wear contact lenses?

Yes No

Medications you currently take, prescription or over the counter

Illnesses or conditions you're being treated for by a doctor

Allergies

Have you had your lashes or brows tinted before?

Yes No

If you had a bad reaction to a previous tint, please explain

Procedure risks

I understand that tinting lashes or brows can irritate the eye area and may cause stinging, burning or blurred vision if tint gets into the eye.

I understand that if the tint or developer touches my eye, it will be rinsed with water and I may need medical attention.

I understand the skin touched by the tint may become irritated, itchy or feel a burning sensation.

I understand some dark staining may remain on the skin after tinting and will fade within a short time.

I understand hair absorbs color differently and the final result may not match the shade I chose.

I understand the tint will lighten over several weeks and touch-ups are needed, usually every 3 to 4 weeks.

Consent statement

Client Signature

Sign here

Date

Closing note

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