Eyelash extensions form+Tint

Eyelash Extension Consultation & Safety Information

Patch testing must be booked and completed 24–48 hours prior to treatment where required. No waivers or disclaimers will override safety requirements.

All new clients and returning clients after 6 months are required to complete a new patch test prior to treatment.

Please remove contact lenses before your appointment where possible.*

Please remove contact lenses prior to your treatment*

Medical & Treatment Safety Declaration

Please disclose any medical conditions, skin conditions, medications, allergies, or recent treatments that may affect your treatment.

Some conditions may require additional medical confirmation or a doctor’s note before treatment can proceed. This will only be requested where necessary for safety and professional assessment.

The therapist reserves the right to delay or refuse treatment if adequate medical information is not provided.*

Declaration of Truth & Consent

I confirm that all information provided in this form is true and accurate to the best of my knowledge.

I agree to inform the therapist immediately if any medical or personal details change prior to treatment.

I agree to the Terms & Conditions and understand that completion of this form does not automatically guarantee treatment approval.*

Health & Infection Safety Declaration

I agree to inform the therapist immediately if, within 24 hours prior to treatment, I:

• develop a temperature higher than 37°C

• develop a cough or contagious illness

• lose my sense of taste or smell

• or experience any symptoms which may affect safe treatment

*

Treatment Suitability & Therapist Discretion

All treatments are subject to professional consultation and suitability assessment.

The therapist reserves the right to:

• refuse treatment

• modify treatment

• or recommend an alternative service

if it is deemed unsafe, unsuitable, or outside professional scope of practice.

Certain treatments may also be subject to training limitations, insurance requirements, safeguarding considerations, and treatment-specific suitability assessments.*

I accept terms and conditions and the information I gave is trueDeclaration of Truth & Consent

I confirm that all information provided in this form is true and accurate to the best of my knowledge.

I agree to inform the therapist immediately if any medical or personal details change prior to treatment.

I accept the Terms & Conditions and understand that all treatments remain subject to consultation, suitability assessment, and professional approval prior to treatment.*

Certain treatments may also be subject to training limitations, insurance requirements, safeguarding considerations, and treatment-specific suitability assessments.*