Informed Consent & Client Health History

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
Please check the box if you acknowledge:(Required)
I acknowledge that I have read, understood, and agree to abide by the Client Policy. By typing my full name below, I provide my digital signature, which holds the same legal weight as a handwritten signature, indicating my acceptance of the terms and conditions outlined in the policy.
MM slash DD slash YYYY
How should we contact you?(Required)
When is the best time to contact you?(Required)
Emergency Contact Name(Required)
Have you ever had a reaction to adhesive tape, topical creams, nails adhesives, or other topical products?(Required)
Do you have any eye disease, condition or injury that has affected your hair/lash growth or loss?(Required)
Have you ever had any of these conditions? (Please click all that apply)(Required)
Are you pregnant or nursing?(Required)
Do you wear contacts?(Required)
Do you wear glasses?(Required)
Have you ever has lash extensions?(Required)
Have you ever had lash extensions removed?(Required)
Have you ever used long lasting or waterproof cosmetics?(Required)
Do you used Retin-A or Accutane?(Required)
Do you go tanning (in salon, outdoor, or spray tan)?(Required)
Have you ever had Botox, Juvederm, or any other injectables?(Required)
Have you ever used Latisse or any other lash growing product?(Required)
Which side do you most often sleep on?(Required)
Which side do you most often sleep on?(Required)
How fast do you feel your hair grows?(Required)