I agree to have an eyelash lift (perm) and/or eyelash tint applied to my natural eyelashes and/or retouched. By signing this agreement, I consent to the procedure of an eyelash perm and/or eyelash tint by my technician.
I understand there are risks associated with having an eyelash perm and/or eyelash tint. I further understand that as part of the procedure, eye/skin irritation, eye/skin pain, eye/skin itching, discomfort, and in rare cases infection or blurriness could occur. I agree that if I experience any of these medical conditions with my eyes, lashes, or skin that I will contact my technician and consult a physician at my own expense. I understand that even though my technician perms the lashes using the proper technique, and tints eyelashes using the proper technique, the instruments, tapes, cleaners, eye gel pads, adhesives, and solutions used may irritate my eyes and/or skin and may require a physicians follow-up care. I understand and agree to the care instructions provided by my technician for the use and care of my permed and/or tinted eyelashes. I realize and accept the consequences of failure to adhere to these instructions may cause the eyelashes to not stay permed as long as told.I understand and consent to having my eyes closed and covered for the duration of the 45-60 minute procedure.I will inform my technician of the following conditions before the start of service:
- Current use of contact lenses which I agree to remove during application
- Current use of anything such as oil-containing sunscreen or moisturizers around the eyes -Current use of eyedrops of any kind, prescription or over-the-counter
- Current allergies or sensitivities to instruments, fumes, tapes, cleaners, eye gel pads, adhesives, and removers that could cause my eyes to water and blink in excess
- History of recurrent eye or tear duct infections
- History of dry eyes or Sjogren's Syndrome
- Recent history of Chemotherapy
- Other medical conditions which would prohibit or compromise the process and retention of this eyelash perm and/or tint