BROW LAMINATION CONSENT FORM

Brow Lamination Consent Form 

Please use this form prior to your appointment, you will still receive a full consultation on the day. This will save time and prevent any unnecessary contact in the salon. 

I agree to have a brow lamination lift and/or eyebrow tint applied to my natural eyebrows and/or retouched. By signing this agreement, I consent to the procedure of an eyebrow lamination and eyebrow tint by my therapist.

I understand there are risks associated with having an eyebrow lamination/and eyebrow tint. I further understand that as part of the procedure, eyebrow irritation, eyebrow pain, eyebrow itching, discomfort, and in rare cases eyebrow infection. I agree that if I experience any of these medical conditions with my eyebrow that I will contact my therapist and consult a doctor at my own expense.

I understand that even though my therapist Laminates my eyebrows using the proper technique, the instruments, cleaners, adhesives, and removers used may irritate my eyebrow or require a doctor’s follow-up care.

I understand and agree to the care instructions provided by my therapist for the use and care of my Laminated brows/ eyebrow tint. I realise and accept the consequences of failure to adhere to these instructions may cause the eyebrows to not stay permed as long as told.

I am informing my therapist of the following conditions by marking with a check:

  • Current use of contact lenses which I agree to remove during application

  • Current use of anything such as oil-containing sunscreen or moisturizers around the eyebrow

  • Current use of eyedrops of any kind, prescription or over-the-counter medication
     

Current allergies or sensitivities to instruments, fumes, tapes, cleaners, adhesives, and removers that could cause my eyes to water and blink in excess
History of dry eyes or Sjogren’s Syndrome

Recent history of Chemotherapy

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

I agree to the following eyebrow Lamination/Tint post-op and maintenance instructions:

No water can come in contact with the eye area for 24 hours after the application


This agreement will remain in effect for this procedure and all future procedures conducted by my therapist.

I am over 18 years of age and consent to the agreement and to treatment.

There are no guarantees for length of time the eyebrows will stay permed. I understand the aftercare instructions and will do my part to maintain my eyebrows. I understand that there are many factors that may affect the life of the eyebrow lamination/Tint such as water and moisture contact, weather conditions, and activities involving exposure to high temperatures.

By signing below, I verify that I have read and understand the above statements and agree to them.

I can confirm I've received no adverse reactions within 48hrs of the patch test.