Reservas
Reservas

INFORMED CONSENT
EYELASH EXTENSIONS

I agree to have eyelash extensions applied to and/or removed from my natural lashes. Before my qualified professional lash technician can perform this procedure, I understand that I must complete this agreement and give my signed and dated consent on this consent form, as indicated below. The following conditions may determine whether I am a suitable candidate (Check the box if you have any of these conditions).

I agree to the following:

I understand that there are risks associated with the application and/or removal of artificial eyelashes to my natural lashes. I understand that eyelash extensions will be applied to my natural lashes as determined by the technician so as not to create excessive weight on the natural lashes, thereby preserving the health, growth, and natural appearance of the client’s lashes.

I understand that as part of the procedure there may be eye irritation, eye pain, itching, discomfort, and in exceptional cases, eye infection. I understand and agree that if I experience any of these problems with my lashes, I will contact my technician, have the lashes removed, and consult a physician at my own expense.

I understand that although the technician may properly apply and remove the lashes, adhesive materials may remain during or after the procedure, which could irritate my eyes or require further follow-up care. I understand and agree to follow the aftercare instructions provided by my technician. Failure to follow aftercare instructions may cause the eyelash extensions to fall out.

I understand that in order for eyelash extensions to be applied to my lashes, I will need to keep my eyes closed for 60–180 minutes during the procedure. I also understand that I will need to remain lying down in a reclined position. Any medical condition that may be aggravated by remaining still for a prolonged period of time may mean that I cannot undergo this procedure on my eyes.

This agreement will remain in effect for this procedure and all future procedures performed by my technician for one year from the date of this signed form. I understand that this agreement is binding and that I have read and fully understood all of the information mentioned above.

I represent that I am over 18 years of age. If under 18, a parent or guardian must also sign this form.

    Name:
    Email:
    DNI or Passport Number:
    Date of Birth:
    Contact Phone Number:
    Date of Treatment:

    CONDITION AND ADVERSE REACTIONS


    Signature: