Lash Lift & Tint Consent

Confirms a client is a good fit for a lash lift and tint before you start. They flag any contraindications, agree to keep their eyes closed during the 45-60 minute treatment, note contact lens use and sign the terms.

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I am telling my technician about any of these contraindicated conditions:

Eye infection Recent eye surgery Pregnancy Chemotherapy Chemical allergies None

I agree to keep my eyes closed and covered for the 45-60 minute procedure.

I agree I do not agree

I wear contact lenses

Yes No

I, the undersigned, accept the following statements:

I understand the risks of lifting and tinting The information I gave is accurate I will follow the aftercare instructions I understand results may vary

Name

First Name

Last Name

Date

Signature

Sign here

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