LASH LIFT CONSENT FORM
In order for us to create the most effective and safe treatment plan that is customized just for you, we must collect certain personal and medical information. PURE Skincare & Acne Spa will never share or disclose any information that you share with us.
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Email *
Name *
First and Last
Email Address *
Have you received Lash Lifts before?
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How would you describe your natural lashes?
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List any allergies you have:
Have you ever had your brows or lashes tinted?
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List any medications you are currently taking:
TERMS & CONDITIONS, PLEASE READ EACH ONE: - I understand to not pluck, pull or cut my natural lashes. - I understand I cannot get my lashes wet or apply eye make-up for at least 24 hours after every lash lift appointment, as it will affect my results. - I understand to come without contacts in or to remove them prior to the service, so there is no irritation. - I agree that if at any time I am uncomfortable with the lash lift or lash tint, I will inform the technician and she will gladly rectify the problem, including ending the session if necessary. - I understand there are risks associated with having a lash lift and tint. I further understand that as part of the procedure, eye irritation, eye pain, eye itching, discomfort, and in rare cases allergic reaction, eye infection, or blurriness could occur. - I am aware that a lash lift lifts my natural lashes. Depending on my natural lash length and strength, results may differ. I am also aware the lash tint will tint my natural lashes black or natural brown depending on my preference. - I understand and consent to having my eyes closed and covered for the duration of the treatment. Note - You must prepare your eye area prior to your arrival. Eyelashes should be clean, dry, and free of mascara, makeup, and oil residue. *
By selecting "Yes", I agree and understand the information provided. We will be unable to provide a treatment if consent terms are not accepted.
CANCELLATION POLICY: If you need to reschedule or cancel an appointment, I require a minimum of 24-hours notice. Please call or text (989) 307-9369. If there is no answer, please leave your information on the voice mail and/or text your cancellation as proof of your cancellation contact. I do understand that things happen beyond our control and will do my best to accommodate your needs. My online booking system sends out 2 reminders, 48 and 24 hours in advance. Please understand that it is your responsibility to remember your appointment dates and times to avoid late arrivals, missed appointments and any cancellation fees. Clients that "no show" appointments or give less than 24 hours notice may be invoiced a cancellation fee equal to 50% of their scheduled service, which would need to be paid before booking future appointments, and repeat offenders may be required to pay in advance for future services. Because Pure Skincare & Acne Spa is by appointment only, your appointment time is reserved exclusively for you and I request that you please respect the cancellation policy. LATE ARRIVALS: If you arrive late, your session may be shortened in order to accommodate others whose appointments follow yours. Depending upon how late you arrive, I will then determine if there is enough time remaining to start a treatment. Regardless of the length of the treatment actually given, you will be responsible for the full session. Out of respect and consideration to me and other customers, please plan accordingly. Thank you for understanding!! *
By selecting "Yes", I agree and understand the information provided. We will be unable to provide a treatment if cancellation terms are not accepted.
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