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Lash Extensions Consent Form
IC Last 4 Digits
Please Check The Relevant Boxes (If Any)
Recent Eye Surgery
Very Oily Hair/Skin
Hair Pulling Disorder
Any Medical Conditions That May Cause Hair Loss
Frequent Eye Irritation , Itching Or Watering Eyes
Blepharitis (Inflmmation Of EyeLids)
Allergic To Latex Or Acylic
If You Have Selected (Others) Please Specify Here
I am Aware & Agree To The Following
The adhesive contains fumes which may cause an allergic reaction for some rare cases. Never open your eyes during the application as the adhesive and fumes may cause damage to the eye . In any cases of allergies , there will be no refunds issued on any procedures.
I am fully aware that the whole process might take 1.5hour to 2.5hours for a complete set of eyelash extension depending on the style chosen.
There are many factors that can influence the extensions and how long it will last : Eg: Medication, make up remover , stress , hair growth cycle and skin care product , rubbing eyes etc.
Lash adhesive takes approxmately 24 hours to bond therefore you must not wet your eyelashes , wear makeup, rub your or participate in any activities such as sports , sauna or jacuzzi for the first 24 hours
I am fully aware that my lash artist is working with sharp tweezer during the lash extension process, should I need to open my eyes / adjust my body position, I will inform my lash technician before opening my eyes.
I am aware that I should not rub my eyes as this will cause damages to my own natural lashes and cause extensions to fall. Eyelashes should not be permed or tinted within 48 hours of the procedure.
It is recommended to come for maintenance refill every 2 weeks at discounted rates . Refill period is only within 21 days . After 21 days , touch up will not applicable , only new set can be done.
I am aware that I should not use oil base make up removal but water-based remover as this will affect my lash retention
During the lash procedure, I should refrain from talking to my lash artist for my own safety as they are working with sharp tweezers and talking will trigger my facial muscles to move and affect the entire lash extension procedure .
The adhesive contains fumes which may cause allergic reaction , never open your eyes during the application of the adhesive solution
The adhesive takes approximately 24 hrs to set , therefore you must not wet your eyelashes , wear makeup , rub your eyes or participate in any activities such as sauna , jacuzzi
There are some products that can influence the extensions and how long it will last , eg : medication , makeup removers , stress , mascara , hair growth cycles and skin care products
Not all hair is at the same stage of growth , therefore some lashes will fall out before the rest . this is not due to improper application. On avergae you will lose 2-5 extensions per day
Never try to remove the lashes yourself , lashes must be removed by your therapist with the proper products and care otherwise you will damage your natural lashes
I Hereby certify that i am above 21 years of age to have this service performed on me and if i am below 21 years , i hereby declare that i have already seeked parental consent and approval
In the event that i do not like the outcome of the eyelash extensions , the removal process can only be done after 48hours because there could be potential risks of allergic reactions as the adhesive is not fully dried and bonded together
I understand that once the service has started or rendered , it is not refundable .
I understand that the outcome of the lashes will differ from salon to salon as different design / materials are used entirely which will impact the overall outcome of the final lash effect
I understand that i have the option of receiving a patch test at least 24 hours prior to the procedure . If i waive the right to such test , i will be fully responsible for any consequences of any allergy that may occur associated to the application of eyelash extensions.
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