Body Treatment

Consent Form

Brow Lamination Consent Form

First & Last Name

Date

Phone Number

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Brow History

Have you ever had your brow laminated before?

If yes, have you ever had an adverse reaction?

If yes, please explain

Have you ever had an allergic reaction to hair perming products?

If yes, please explain

Are your eyebrows microbladed?

If yes, when did you get them done?

Have you recently bleached or tinted your eyebrows?

If yes, how long ago did you bleach or tint them?

Are you presently utilizing any skincare or exfoliating products near the eyebrows containing the following ingredients: Retin-A, Retinal, Tretinoin, Glycolic Acid, Salicylic Acid, Alpha Hydroxy Products, or Accutane?

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Medical History

Do you have any allergies?

Are you pregnant or breastfeeding?

Are you taking any medication?

If yes, please list

Are you presently applying Retinal around the eyebrows or taking any Accutane or similar medications?

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Do you have any of the following conditions?

Please check all that apply

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Other

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While every precaution will be implemented to ensure my safety and well-being before, during, and after the brow lamination process, I acknowledge the following information and potential risks. Please initial on the lines provided.

I acknowledge that despite all preventive measures, injury is possible during the treatment, and I will not hold the technician or the business performing this service responsible in any way for any damages that may arise as a result of undergoing the brow lamination procedure.

I understand that some irritation, itching or burning may occur to the skin which comes in contact with the lamination agent.

I understand that an allergic reaction is possible.

I understand that it is imperative that I disclose all of the information requested on the front page of the client consent form.

I have cited all conditions and circumstances regarding my health history, medications being taken, and any past reactions to products or medications.

I agree to the capture of "before and after" photographs for documentation, potential advertising, and promotional purposes.

I agree to contact the technician who performed this procedure if I experience any adverse effects with my brows.

I understand that brow lamination is the process of restructuring the brow hairs to keep them in a desired shape, but it is my responsibility to brush my brows daily to maintain the desired look.

I understand that it's necessary to keep my eyebrows dry for 48 hours following the brow lamination process.

I understand that I should wait 6-8 weeks between Brow Lamination sessions.

I acknowledge the importance of consulting with a physician if pregnant or breastfeeding before undergoing a Brow Lamination treatment.

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Consent & Agreement

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I certify that I have provided accurate information to the best of my ability. I agree to promptly inform the technician of any changes to the above information.

Furthermore, I confirm that I do not have any condition(s) that would render the requested treatment unsuitable. If I experience any discomfort during the treatment, I will notify the technician immediately for appropriate adjustments.

I release my technician and Beauty Oasis from any liability for any injury or damages resulting from any misrepresentation of my health. This agreement is effective for the current procedure and any future follow-ups conducted by the technician. I acknowledge that this consent agreement is legally binding.

Having read and understood all terms of this agreement, I, being over 18 years of age, hereby consent to the brow lamination procedure. If I am under 18 years of age, I confirm that my parent or legal guardian has consented to this agreement on my behalf.

By providing my name below, my parent or legal guardian ratifies and consents to this procedure under the terms outlined in this agreement.

Client Name

Date

Parent/Guardian Name

Date

First & Last Name

Date

Phone Number

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Brow History

Have you ever had your brow laminated before?

Have you ever had an adverse reaction?