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  • Gorgeous Lashes Consultation Form-5

    Uploaded by

    ceesirikanda
    11 views1 page
    This document is a client record for lash extension services. It collects information such as allergies, previous eye surgeries or lash extensions, use of contacts or glasses, and consent for the listed technician to perform the lash application. Clients must provide their name, date, email, phone number and answer questions about their health history and potential risks.

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    This document is a client record for lash extension services. It collects information such as allergies, previous eye surgeries or lash extensions, use of contacts or glasses, and consent for the listed technician to perform the lash application. Clients must provide their name, date, email, phone number and answer questions about their health history and potential risks.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    11 views1 page

    Gorgeous Lashes Consultation Form-5

    Uploaded by

    ceesirikanda
    This document is a client record for lash extension services. It collects information such as allergies, previous eye surgeries or lash extensions, use of contacts or glasses, and consent for the listed technician to perform the lash application. Clients must provide their name, date, email, phone number and answer questions about their health history and potential risks.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 1

    Lash Extension Client Record

    SIONS
    TEN
    EX ST

    U
    S

    DI
    LA

    O
    Gorgeous
    Lashes

    Name Date

    Email Contact #

    Do you have any allergies? Please state. Have you had any eye surgery around the
    eye area in the last 6 months?

    YES NO
    Have you had lash extensions before?

    YES NO Do you have acrylic allergy?


    Do you wear contact lenses? YES NO

    YES NO I hereby consent and authorize the person


    Do you wear glasses? written below to perform the lash
    application.
    YES NO Name of the technician

    Do you have a latex allergy?

    YES NO Client Signature

    Lash Extension Client Record


    SIONS
    TEN
    EX ST
    H

    U
    S

    DI
    LA

    Gorgeous
    Lashes
    Name Date

    Email Contact #

    Do you have any allergies? Please state. Have you had any eye surgery around the
    eye area in the last 6 months?

    YES NO
    Have you had lash extensions before?

    YES NO Do you have acrylic allergy?


    Do you wear contact lenses? YES NO

    YES NO I hereby consent and authorize the person


    Do you wear glasses? written below to perform the lash
    application.
    YES NO Name of the technician

    Do you have a latex allergy?

    YES NO Client Signature

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