Eye Lash Patch Test
While an allergic reaction to eyelash extension glue is quite uncommon, it can still occur. It is recommended that a small amount of glue is applied to the clients lashes 48 hours before a full set of extensions are carried out.
Please fill out and initial below to confirm your understanding. If there is any sign of redness, itching, swelling or blistering, return to have any traces of adhesive removed and do not proceed with the treatment.
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I understand there are risks associated with having artificial eyelashes applied to and/or removed from my natural eyelashes.

Please initial.
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I confirm that my provider has explained all the reactions, sensitivities and risks to me and I have been given the opportunity to ask questions.

Please initial.
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I accept full responsibility for any risks, reactions and sensitivities which may occur and I have disclosed all allergies to my provider.

Please initial.
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I understand and agree that if I experience any reaction that I will contact my provider immediately. I understand I may need to seek medical treatment at my own expense.

Please initial.
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I will not hold Beaute by Ruby responsible in any way for my reactions, sensitivities and injuries that might occur as a result of this treatment.

Please initial.
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Beaute by Ruby has given me the option of patch test, I understand that declining a patch test may result in reactions and I may be refused treatment.

Please initial.
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I consent to have a patch test done.

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