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Please note, you must fill out this form before our appointment.

Do you consent to having a Patch Test prior to your treatment?

PATIENT CONSENT: This informed consent form has been prepared to help inform you of the potential benefits and risks of eyelash extensions and Lash lifts. You must read this information carefully and discuss fully with your practitioner before proceeding with treatment. 

It is also important that you take as much time as you need to consider the treatment carefully, weighing up all your options before reaching an informed decision.  It is essential that you are aware of your right to have a second opinion and you are encouraged to ask any questions that come to mind throughout the entirety of the process.

RISKS AND SIDE EFFECTS: Occasionally clients may develop an allergic reaction to the products used during eyelash extensions or Lash lifts. Your technician will organise a patch test for you at least 48 hours before treatment unless you opt out of this by signing a waiver form. This involves you putting a small amount of the appropriate products to the treatment onto your skin and observing if there is any rash or skin irritation. If there is any reaction the product should not be used on you. A normal patch test is a good indicator that you will not react to the treatment but it cannot exclude all severe allergic reactions.

As with any procedure there are potential risks and complications associated. Eyelash extensions and Lash lifts are a safe and low risk procedure, but you must be aware of the following possible risks before proceeding. You must fully discuss any questions with your practitioner. 

Common side effects include eye or eyelid redness or inflammation, itching, swelling or irritation of eyes or eyelids. These after effects should settle within 2-3 days.  It is important to keep your eyes closed during the procedure as fumes from the products may irritate your eyes. You must tell your practitioner as soon as possible if you experience any burning of discomfort during the procedure. 

Uncommonly you may experience an allergic reaction to the products used. This can present as swelling and itchy red rash. If you experience any issues, you should contact your practitioner immediately. Eyelash extensions can also cause loss of the natural eyelashes or cause them to break or thin out. You should not rub or pull the lash extensions to help avoid this.

All deposits and booking fees are non-refundable unless agreed to with the practitioner.

Do you understand the information you have been provided?
Do you have any medical conditions?
Are you pregnant or breastfeeding?
Do you wear contact lenses?
Do you suffer from oily hair or skin?
Do you have any known allergies or have ever had anaphylaxis?
Do you have any active infection at the intended site of procedure?
Is there any other Medical and/or Social History that we should know? If so, please provide full detail below.
Have you had this or a similar treatment before? If so, did you experience any problems? Please provide full details below.
Do you have any concerns? If so, please provide full details below.
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