Full Consultation Form

Name *

First Name

Last Name

Are you 16+? *

Yes

No (treatment cannot take place)

Medical History

Allergies (latex, cyanoacrylate, wax, tint/ stain)

Eczema

Psoriasis

Diabetic

Hair Loss/ Alopecia

Bruise Easily

Recent Botox/ Treatment

Current Eye Infection

Are you currently pregnant?

Pregnant

Nursing

Are you currently undergoing any medical treatment/ taking antibiotics?

Medical Treatment

On antibiotics

Do you wear contact lenses?

This is only relevant for lash treatments

Yes, please remove these before your appointment

No

Have you been on a sunbed/ sunbathed in the last 48 hours?

Sunbed

Sunbathed

Either with a sunburn

Have you had any brow treatments before?

Yes - no issues

Yes - reaction occured

No

Do you use any creams containing retinoids, glycolic acid, or any other exfoliating agents?

Yes - please discontinue use 1 week before your appointment

No

Brow Shaping with Wax, Tweezing and Trimming

Yes

No

Have you had lash extensions before?

Yes, no issues

No, patch tests are optional if you would like to book this

Wedding Date

Wedding Packages only

MM

DD

YYYY

Consent *

By consenting to this form, I acknowledge and agree to the following: • I confirm that I have disclosed any relevant medical conditions, allergies, or sensitivities. • I understand that lash and brow treatments require proper aftercare to maintain results. • I acknowledge that while every effort is made to predict potential sensitivities through patch tests, it's important to note that allergic reactions can still occur post-treatment despite negative test results, as they serve as a proactive measure rather than a guarantee. • I understand that lash extensions require infills every 2–3 weeks to maintain fullness and that results vary based on my natural lash cycle, lifestyle, and aftercare. • I understand that results for brow treatments may vary based on skin type, aftercare, and natural hair growth. • I understand that refunds are not available once the service is completed. • I agree to follow all aftercare instructions provided. • I consent to photos being taken for record-keeping and marketing purposes (with or without my face shown, as discussed).

I accept