(236) 788-6878

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(236) 788-6878

LASH LIFT + TINT + BROW LAMINATION

The Beauty Drip Studio InC.

Consultation Form

CONSULTATION FORM

Please fill out all required information below.

First name

Last name

Birthday

Year

Month

Day

Age

Email address

Phone number

Multi-line address

Country/Region

Address

City

Zip / Postal code

How did you hear about us ?

Are you over the age of 18 ?

Yes

MEDICAL HISTORY

Please check any applicable boxes and provide additional details where necessary

Do you have any allergies to adhesive tapes, fumes or eye remover ?

Yes

Have you had any previous allergies/sensitivities to lash tint, lift or brow lamination?

Yes

Are you pregnant or breastfeeding?

Yes

Do you wear contact lenses or glasses?

Yes

Have you had any recent eye surgery within the last 6 months (Cataract, Lasik eye surgery) ?

Yes

List any medications or supplements you are currently taking:

TREATMENT HISTORY

Have you had lash lift/tint/brow lamination before ? If yes, when ? (Add in other)

Yes

Other

LASH LIFT & TINT

Do you use any of the following products? (Select all that apply)

Mascara/Waterproof Mascara

Lash Growth Serum

Eyelash Curler

Oil Based Products (sunblock, eye creams, eyeliner, makeup remover)

Which of the following describes the look you would like to achieve?

Fully lifted

In Between

Natural Curl

BROW LAMINATION

Do you use any of the following products ? (Select all that apply)

Brow Pencil

Brow Gel

Brow Growth Serum

Oil Based Products (sunblock, eye creams, eyeliner, makeup remover)

I hereby confirm the accuracy of the information provided above ot the best of my knowledge. I have diligently and truthfully documented my medical history, including all relevant details. I understand that it is my responsibility to promptly inform the technician of any changes in my current medical or health conditions. Fo all forthcoming services, I commit to keeping my service provider informed of any modifications to my medical status and the information previously disclosed.

Client Name

Date

Client Signature

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Client Consent Form

I hereby consent to undergo an eyelash lift, brow lamination, hair removal (wax, sugar and/or tweezing) and/or eyelash/brow tint on my natural eyelashes.
I consent for my technician to perform an lash lift, brow lamination, or eyelash/brow tint procedure.
I am aware of the potential risks associated with receiving an eyelash perm, brow lamination, or eyelash/brow tint.
I acknowledge the possibility of experiencing eye irritation, eye pain, eye itching, discomfort, and, in rare instances, eye infection or blurred vision.
I understand that some mild sysmptoms, such as tingling, redness, and warmth, may arise during brow lamination, with these effects subsiding within 24 hours.
If I encounter any medical issues related to my lashes, I commit to contacting my technician and consulting a physician at my own expense.
I recognize that the tools, tapes, cleaners, eye gel pads, adhesives, and removers used may potentially irritates my eyes or brows, necessitating follow-up medical care.
I agree to adhere to the care instructions provided by my technician for the maintenance of my permed and/or tinted eyelashes/eyebrows.
I also commit to following the post-lash lift instructions, which include refraining from water contact, makeup, oil containing products, and contact lenses for initial 24 hours.
I confirm that I am either over 18 years of age or accompained by a consenting parent or guardian.
This agreement encompasses the current procedure as well as any future procedures performed by my technician.
I understand and acknowledge the legally binding nature of this consent agreement.
I release my technician and The Beauty Drip Studio Inc. from any liability associated with the procedure.
I am aware that there are no guarantees regarding the duration of the eyelash perm's effectiveness.
I accept responsibility for maintaining my eyelashes and acknowledge that various factors may influence the longevity of the eylash lift.
By signing below, I affirm that I have comprehensively read and understod the statements above and willingly agree to them.

Client Name

Date

Signature

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The Beauty Drip Studio Inc.

thebeautydripstudio@gmail.com

+1 236 788 6878