top of page

Client Consent Lash & Brow Tinting

Have you ever used hair color before?
When is the best time to contact you?
Have you ever had an allergic reaction to hair color?
Do you wear contacts?
Do you have diabetes, lupus, or any auto-immune disease?
Have you ever had your brows or lashes tinted?
Although every precaution will be made to ensure your safety and well-being before, during and after your tinting application, by selecting each checkbox below you agree that you're aware of the possible risks.
I have read the above information. If I have any concerns, I will address these with my skin care therapist. I give permission to my therapist to perform the tinting procedure we have discussed, and will hold him/her and his/her staff harmless from any liability that may result from this treatment. I have accurately answered the questions above, including all known allergies, prescription drugs, or products I am currently ingesting or using topically. I understand my esthetician will take every precaution to minimize or eliminate negative reactions as much as possible. In the event I may have additional questions or concerns regarding my treatment, I will consult the esthetician immediately. I agree that this constitutes full disclosure, and that it supersedes any previous verbal or written disclosures. I certify that I have read, and fully understand, the above paragraphs and that I have had sufficient opportunity for discussion to have any questions answered. I understand the procedure and accept the risks. I do not hold the esthetician, whose signature appears below, responsible for any of my conditions that were present, but not disclosed at the time of this skin care procedure, which may be affected by the treatment performed today.
bottom of page