Disclaimer and Consent
The information provided is intended solely for illustrative purposes regarding consent documentation for cosmetic eyelash enhancements. It does not serve as a legal or medical advice. Clients are advised to consult with licensed professionals and review applicable local laws and regulations before proceeding. Responsibility for usage rests with the individual, and any reliance on this example is at their own risk. We disclaim any liability for errors, omissions, or outcomes resulting from its use without professional consultation.
Please note: This is a sample Lash Extension Consent Form for the US, provided for illustrative purposes only. Actual forms may vary based on individual practices and legal requirements.
Lash Extension Consent Form Sample (US)
Client Details:
Name: _______________________________
Date of Birth: _______________________________
Address: _______________________________
Procedure Description:
Application of semi-permanent eyelash extensions to enhance length, fullness, and appearance of natural lashes, performed by a licensed technician.
Risks and Precautions:
Potential risks include allergic reactions, irritation, eyelash damage, or discomfort. Clients should disclose any allergies or sensitivities prior to the procedure.
Consent:
I acknowledge that I have been informed about the procedure, its risks, and aftercare instructions. I consent to the lash extension application and understand I may request removal at any time.
Post-Care Instructions:
- Avoid water, steam, or oil-based products on lashes for 24-48 hours post-procedure.
- Do not rub or pick the eyelashes.
- Schedule regular touch-ups as recommended to maintain lash appearance.
I confirm that I have received all necessary information regarding the procedure, risks, and aftercare. I understand and agree to the terms outlined above.
Signature: _______________________________
Date: _______________________________
Technician Name