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EYE CANDY LASH STUDIO CONSENT FORM - 2021

Please read and consent to the following terms prior to your first appointment. This will save us both time and ensure you are prepared for  a relaxing appointment.

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EYELASH EXTENSIONS

 I understand that a full set of lash extensions can make the appearance of my own lashes about 30-50% thicker, and make my lashes appear 20-50% longer.

 I understand that lash extension services have some inherent risk of irritation to the orbital eye area, including the eye itself, and could result in stinging and burning, blurry vision and potential blindness 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 assisted 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 while every attempt will be made to provide me with the length and fullness I have chosen, my final result may not be what I initially envisioned.

 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” photographs for the purpose of documentation, potential advertising and promotional purposes. 

 I understand that if I have any concerns, I will address these with my lash extension specialist. I give permission to my lash extension specialist to perform the lash extension procedure we have discussed, and will hold him/her and his/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 concerns regarding my treatment, I will consult the lash extension specialist immediately. I agree that this constitutes full disclosure, and that it supersedes any previous verbal or written disclosures. I certify that I have read, and fully understand, the above paragraphs and that I have had sufficient opportunity for discussion to have any questions answered. I understand the procedure and accept the risks. I understand that refunds are not granted due to any reaction that may occur from this service. 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. 

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LASH LIFT/ BROW LAMINATION

Although every precaution will be taken to ensure your safety and well-being before, during, and after your eyelash lift, please be aware of the following information and possible risks.

 I understand that there are risks associated with having an eyelash lift.

 I understand that as part of the eyelash lift procedure, eye irritation, eye pain, eye itching, discomfort, and in rare cases, eye infection or blurriness could occur.

 I agree that if I experience any of these conditions with my eyelashes or eyes, that I will contact my technician; if I choose to consult a physician, it will be at my own expense.

 I understand that the instruments, tapes, cleaners, eye gel pads, adhesives, and/or removers may irritate my eyes or require a physician’s follow-up care, even though my technician utilized correct techniques and followed proper safety protocols. __ I understand that an eyelash lift will lift my natural eyelashes. Depending on my natural eyelash length and strength, results may vary.

 I understand and agree to the care instructions provided by my technician for the use and care of my eyelashes after the eyelash lift. I realize and accept that the consequences of failure to adhere to these instructions may cause the eyelashes to not stay as lifted as long as originally told.

 I understand and consent to having my eyes closed and covered for the entire duration of the procedure.

 I agree to the following eyelash lift care and maintenance instructions:

 No water can come in contact with the eye area for 24 hours after the applications. This agreement will remain in effect for this procedure and all future procedures conducted by my technician. I have read the above information. If I have any concerns, I will address these with my esthetician/technician. I give permission to my esthetician/technician to perform the eyelash lifting procedure we have discussed and will hold him/her and his/her staff harmless 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 esthetician/technician will take every precaution to minimize or eliminate negative reactions as much as possible. In the event I may have additional questions or concerns regarding my treatment, I will consult the esthetician/technician immediately. I agree that this constitutes full disclosure, and that it supersedes any previous verbal or written disclosures. I certify that I have read, and fully understand, the above paragraphs and that I have had sufficient opportunity for discussion to have any questions answered. I understand a refund will not be granted for any reaction that may occur with this service. I understand the procedure and accept the risks. I do not hold the esthetician/technician, responsible for any of my conditions that were present, but not disclosed at the time of this procedure that may be affected by the treatment performed today.

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