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Promo Code: Thelashchapter10
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LASH RE-GROWTH CONSENT FORM
First Name
Last Name
Phone Number
Are You Pregnant?
Are You Pregnant?
Yes
No
Are You Diabetic Or have any cancer condtions ?
Are You Diabetic Or have any cancer condtions ?
Yes
No
Are You have any eye infection disease ?
Are You have any eye infection disease ?
Yes
No
Do you have any open wound / abrasion ?
Do you have any open wound / abrasion ?
Yes
No
I am Aware & Agree To The Following
I will not be able to see immediate results , lash growth will typically shows after 3-4 weeks after each treatment as the results will be on a progressive basis
I will not be able to see immediate results , lash growth will typically shows after 3-4 weeks after each treatment as the results will be on a progressive basis
It is normal that my lashes will still fall as this part of my lash life cycle , but it will grow back to the intended length
It is normal that my lashes will still fall as this part of my lash life cycle , but it will grow back to the intended length
During The Procedure, i must keep my eyes closed at all times and keep still during the process as my therapist is working on nano needle. Should i require to open my eyes , i will inform my therapist accordingly.
During The Procedure, i must keep my eyes closed at all times and keep still during the process as my therapist is working on nano needle. Should i require to open my eyes , i will inform my therapist accordingly.
I have to keep my lashes dry for 2 hours after the treatment
I have to keep my lashes dry for 2 hours after the treatment
My eyes will feel tired for 1-2 days after the regrowth session due to stimulation
My eyes will feel tired for 1-2 days after the regrowth session due to stimulation
My eyeaI can only do eyeliner embroidery 2 weeks after the lash regrowth treatments will feel tired for 1-2 days after the regrowth session due to stimulation
I can only do eyeliner embroidery 2 weeks after the lash regrowth treatment
It is recommended to apply the day & night serum (1 days after the treatment everyday in order to see results and I must not over apply as it will could cause redness to my eyes)
It is recommended to apply the day & night serum (1 days after the treatment everyday in order to see results and I must not over apply as it will could cause redness to my eyes)
In order to achieve the desirable lash regrowth outcome, a minimum of 3 session is required (1 month interval)
In order to achieve the desirable lash regrowth outcome, a minimum of 3 session is required (1 month interval)
The treatment is suitable for even sensitive eyes but should I experience any discomfort I shall inform my therapist immediately
The treatment is suitable for even sensitive eyes but should I experience any discomfort I shall inform my therapist immediately
The performance and results of this treatment will vary on individuals
The performance and results of this treatment will vary on individuals
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
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
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