top of page

New Client

Consultation Form

Please complete this short form before booking.


A consent form is required before your first appointment.


To save time at your visit, you can complete the online consent form here. Otherwise, a paper consent form must be completed before your appointment begins.

Have you had eyelash extensions before?
Yes
No
Have you had a lash lift within the past 8 weeks?
Yes
No
Have you experienced any eye infections, eye surgery, LASIK or other vision correction procedures, eye injuries, or eye conditions within the past 6 months that may affect your lash appointment?
Yes
No
Do you wear contact lenses?
No
Yes — I’ll remove them before my appointment
Do you have any known allergies or sensitivities to lash adhesive, cyanoacrylate, latex, tapes, eye pads, or cosmetics?
Yes
No
Which of the following best describes your eyes? Select all that apply.
My home is pet friendly. While pets are never permitted in the lash room during appointments, do you have any pet allergies I should be aware of?
Yes
No
Are you currently pregnant or breastfeeding? (Optional)
Yes
No
Please select any conditions that apply.
Are you currently taking any medications, eye drops, or topical products that may affect your eyes, skin, or lashes?
Yes
No
bottom of page