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Updated Consultation form

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Do you have any allergies?
Have you had Eyelash extensions before?
Have you recently had Chemotherapy? If yes, Doctors consent is needed
Have you had any recent trauma to the eye?
Are you on any Thyroid medication? If so, Lashes may result in premature shedding, sooner top us and lighter extension weights may be needed
Do you have Glaucoma? Medications can conflict with the adhesive and cause irritation and poor retention due to excessive tearing during application

Before your eyelash treatment, Please inform me of any reaction to the patch test or any changes to the above.

Remove any eye makeup/mascara/contact lenses


By signing this form you are agreeing that you have no Contra-indications that can restrict you from having eyelash extensions applied.

If answered Yes to any, we have discussed and both parties are happy to go ahead with the treatment.

Although a patch test has been performed, I am in the knowledge that a reaction may still occur because of the higher adhesive coverage used during application, although this is very unlikely.

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