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Pre-Appointment Consent Form

Please complete this short form before booking.

A detailed consent form will be signed in person at your first visit.

Have you had eyelash extensions before?
Yes
No

If no, a Patch Test is always recommended before a Full Set is applied.

Have you had any recent eye infections, surgeries, or medical treatments that could affect lash application?
Yes
No
Do you wear contact lenses?
Yes — I’ll remove them before the appointment
No
Do you have any known allergies or sensitivities to adhesives, tapes, or eye pads?
Yes
No
Are you currently pregnant or breastfeeding?
Yes
No
My home is pet-friendly and shared with a friendly cat, though the lash room itself is pet-free and sanitized before every appointment. Do you have any cat or animal allergies?
Yes
No
I understand that, although rare, mild irritation or allergic reactions to the adhesive or other products used during the service may occur, and that individual results may vary.
I understand and agree
I understand that refunds are not offered, but a complimentary removal is available within 48 hours in case of an allergic reaction.
I understand
I confirm that all information I’ve provided is accurate, and I will complete a full consent form in person at my first appointment.
I agree
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Date
Year
Month
Day

All responses are confidential and used only to ensure your safety and comfort.

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