Printable Eyelash Extension Consent Form Template

LASH EXTENSION INTAKE & CONSENT FORM
A lash consent form is a document that is used to gather consent and information from clients before they receive eyelash extension services.

Are you looking for the perfect form to keep track of your client's personal details, medical history, lash mappings, instructions, and consent approvals to avoid issues and protect you and your business from possible litigation? Then this form is what you need. It is editable and also includes an index section to locate every client's details.

FEATURES OF THIS EYELASH WAIVER & CLIENT CONSULTATION FORM

Client information section

• Name.
• Address, city, state and ZIP.
• Age.
• Email and phone number.
• Emergency contact name and phone number.
• Email list added request.
• Referrer.

Medical and cosmetic history

• Medical and cosmetic history questions.

Client special instructions/requests

• Record up to 3 client special instructions.

Lash mapping & request section

• Application type.
• Lash style.
• Eye shape.
• Set style.
• Lash curl.
• Lash length
• Lash thickness.
• Fill time.
• Notes.

Consent and signature

• Client consent section to protect you and your business.
• Extra four blank lines.
• Signature and date.

Official section

• Who reviewed the form?
• Date and signature
• Comments
• Was the client accepted or not?
• Reason for rejection.
• Waxing cost and discount (If any).
• Manager name, date and signature

Business Information

• Name
• Email and Phone
• Address

AVAILABLE FORMATS

• PowerPoint (Editable)
• PDF
• LARGE 8.5 x 11 INCHES