Lash Extension Consent & Aftercare
Adhesive sensitivity disclosure, eye-health questions, aftercare instructions, and signed liability release.
What's inside
- Adhesive & sensitivity history
- Eye condition checklist
- Aftercare instructions
- Refill timing guidance
- Photo + signature block
LASH EXTENSION CONSENT FORM Client name: __________________________ Date: ___________ ADHESIVE HISTORY [ ] First-time lash client [ ] Previous extensions: brand/artist __________________________ [ ] History of adhesive sensitivity or allergic reaction EYE HEALTH [ ] Wears contact lenses [ ] Dry eye / blepharitis / styes [ ] Recent eye surgery (past 6 months) [ ] Conjunctivitis or any eye infection now AFTERCARE I AGREE TO FOLLOW - No water, steam, or makeup on the eye area for 24 hours - Brush lashes daily with a clean spoolie - Cleanse with lash-safe foam every other day - No oil-based products near the eye - Refill every 2-3 weeks; full set every 6-8 weeks RELEASE I confirm I have no untreated eye condition and accept that minor shedding and slight irritation can occur. Client signature: ___________________________ DISCLAIMER: This template is provided for informational purposes only and does not constitute legal, medical, or financial advice. Have a licensed professional in your jurisdiction review and adapt it before use.
FAQ
How do I handle reactions?
Document the reaction, remove extensions immediately, and refer the client to an ophthalmologist. Notify your insurance.
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