Lash Consent Form - Alison Andrews Spa (Page 3 of 4) in pdf

Are you currently taking Thyroid Medications? ___________Yes __________No

Thyroid medications or Thyroid Conditions may not last long due to either of these.

Have you had Lasik Surgery in the past 4 months? ____________Yes ______________No

Eyes may have sensitivity to eyelash extensions and products used for prepping the eye area (gel

pads, glues, etc.).

Blephoroplasty or other eye condition or surgery in the last 6 months? ________Yes _____No

Blephoroplasty , eye surgery or conditions may have sensitivity to eyelash extensions and

products used. Consult your doctor first and ask if it's safe for you to have this service.

Do you wear Contact Lenses: ________Yes _______No

Contact Lenses MUST be removed prior to eyelash extensions procedures. Products may get

underneath the contact lens and cause an abrasion or scratching.

Do you have Extremely OIly skin and.or hair? ______________Yes ____________No

Natural oils will break down the adhesives used to bond the eyelash extensions causing the

extensions to fall out quicker. This does not mean you cannot have the service, merely it may

cause them to fall out quicker.

Beautiful Lashes can put a serious swagger in your step!

We use only high quality medical grade glue andsoft lightweight lashes to give you a

glamorous, yet natural look. Here is what you'll experience today.

Step 1

- Consultation with your Lash Extension Expert to insure this service is right for you and

to explain your before, during and after experience thoroughly.

Step 2

- Select the style of lashes you would like, to cover length, fullness and shape. If you're

unsure, your lash tech will be happy to recommend what's best for you and your lifestyle.

Step 3

- Get Lashed Up!

Step 4

- Rebook for your refill in approx 2 1/2 to 4 week.

Just a few more things! This is to insure a great service and outcome for you.

I understand that eyelash extensions require ongoing maintenance ( similar to a nail service).

Refills are recommended approx. every 2 /12 to 4 weeks. I understand if I go beyond this

recommended time it may need a full set or incure a higher 'relash' price. ________initial

I will seek medical care (at my own expense) and contact my technician immediately if any

allergic or adverse reaction occurs. All of my questions were answered and I understand the

procedure and risks. ____________initial

I grant permission to use my before and after photos for marketing or examples of my

technicians work. ________ Yes __________No

Lash Consent Form - Alison Andrews Spa Page 3