Brow/Lash Consultation and Consent Form


Medical Declaration

I hereby authorise a fully trained and certified technician to complete my treatment.  


I accept responsibility for determining the length and thickness of the lashes (extensions only) / Curl and colour of my lashes (LVL Lashes only) / tint colour for brows and lashes, as agreed during my consultation. I have completed a patch test prior to my treatment (results below).


I understand that a maintenance procedure is required to retain the completed look, and I am aware that I will be charged additional fees for further work.


I understand that with any treatment certain risks are involved and that any complications or side effects from known or unknown causes could occur. I freely assume these risks. I confirm that I have completed the above to the best of my knowledge and the answers I have given are correct. I have not withheld any information. 


I give my full consent for both before and after photos to be used for portfolio building and advertising purposes.  

Please read carefully & only sign if you are in full agreement with its contents.

I confirm that I have understood the treatment that I am about to receive and confirm that I am willing to proceed.

Client Signature:



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Therapist Signature:



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Data Protection and Privacy

We are committed to protecting your privacy. We take special precautions with your sensitive personal data and we will process your data lawfully and as described. We only process the data we need for as long as we need to and we respect all of your rights under GDPR. We will never sell, share or otherwise abuse your data. You can contact us at anytime to request your data, change your preferences or request that your data be deleted. GDPR is the European privacy law designed to protect you and give you control of your data.