Lash Lift Consent Form: What to Include (Free Template)
What a lash lift and tint consent form should cover, from contact lenses and recent eye surgery to dye allergies, patch tests and a signed release, with a free printable template.
Why lash lifts need a consent form
A lash lift uses perm-style solutions right next to the eye, and most appointments add a tint. Both can sting, irritate the eye or trigger a reaction in clients with dye allergies. A signed consent and intake form shows the client disclosed their eye health, skincare and allergies, had a patch test where needed, understood the normal risks and agreed to follow aftercare. It protects your business if a reaction or complaint comes up, and many insurers expect one on file.
Free Lash Lift & Tint Consent Form
A printable lash lift and tint consent and intake form plus a client service record.
Download free →What to include
- Client details: name, phone, email and date of birth
- Contact lenses and eye surgery: lenses must come out, and LASIK or other surgery in the last 6 months is a reason to wait
- Recent lash services: lifts, perms, tints or extensions in the last 6 weeks
- Eye conditions: conjunctivitis, styes, blepharitis, dry or watery eyes
- Retinoids and skin: Retin-A, retinol, Accutane, eczema or broken skin near the eyes
- Allergies: hair dye and PPD, perm solutions, adhesives and fragrance
- Patch test: whether one was done and the date
- Services and desired curl: lift, tint or both, natural or dramatic
- Risks in plain words plus a signature and date
Record every visit
Note the rod size, solution timings and tint shade on a service record, so you can repeat a great curl or go gentler next time. Remind clients to keep lashes dry for 24 to 48 hours and book their next lift in 6 to 8 weeks. This guide is general information, not legal or medical advice, so check the rules where you work.
Lash Tech Client Forms Kit
11 fillable lash forms (consent, patch test, lash map, aftercare, refill log) plus an Excel client tracker.
Get it →Related templates
Free Lash Lift & Tint Consent Form
A printable lash lift and tint consent and intake form plus a client service record.
Download free →Lash Tech Client Forms Kit
11 fillable lash forms (consent, patch test, lash map, aftercare, refill log) plus an Excel client tracker.
Get it →