LASH LIFT CONSENT

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LASH LIFT CONSENT

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PLEASE READ BELOW:

-I understand there are risks associated with having an eyelash perm (lift). I further understand that as a part of the procedure, eye irritation, eye pain, eye itching, discomfort, and in rare cases eye infection or blurriness may occur. I understand that even though Charleston Lash & Beauty Bar perms (lifts) the lashes using the proper technique, the instruments, tapes, cleaners, eye gel pads, adhesives and removers may irritate the eyes.
-I agree that if I experience any of these medical conditions with my lashes that I will contact Charleston Lash & Beauty Bar and consult a physician at my own expense.
-I understand and consent to having my eyes closed and covered for the duration of the 45-60 minute procedure.
-I understand there is no guarantee for the curl tightness and results may vary.
-It is my responsibility to discuss desired results with my service provider and to ask any questions I have have about the lash perm (lift) before I receive the service.
-I understand that there are many factors that may affect the life of the eyelash perm (lift) such as; water and moisture contact, weather conditions and activities involving exposure to high temperatures.
-Because results may very and are not guaranteed, refunds will not be issued if curl results are not desired.

I am informing Charleston Lash & Beauty Bar of the following conditions by marking the following with a check. *

Current use of contact lenses.

Current use of anything such as oil-containing sunscreen or moisturizers around the eyes.

Current use of eye drops of any kind, prescription or over the counter.

Current allergies or sensitivities to instruments, fumes, cleaners, tape, eye gel pads, adhesives and removers that could cause my eyes to water and blink in excess.

History of recurrent eye or tear duct infections.

History of dry eyes

Recent history of chemotherapy

Other medical conditions which would prohibit or compromise the process and retention of the eyelash perm (lift).

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I consent to “before and after” photographs for the purpose of documentation, potential advertising and promotional purposes. *

Yes

I release Charleston Lash & Beauty Bar from all Liability associated with this procedure, which is performed with the utmost attention to safety and proper application using the tools and products that the service provider has been professionally trained to use. This agreement will remain in effect for the procedure and all future procedures conducted by Charleston Lash & Beauty Bar. I have read and fully understand all the information in this agreement.

By signing below, I verify that I have read and understand the above statements. TYPE FULL NAME BELOW *

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