Lash Consent Form Template UK

The Lash Consent Form Template UK is offered in multiple formats, including PDF, Word, and Google Docs, featuring both editable and printable examples.


Sample

Lash Consent Form Template UK

Editable – Printable



Lash Consent Form Template UK

1. Client Information


2. Appointment Information

3. Service Provider Information

4. Health and Safety Information

5. Consent to Treatment

6. Aftercare Information

7. Risks and Side Effects

8. Emergency Contact Information

9. Terms and Conditions

10. Signatures and Agreement

11. Declaration and Signatures




PDF


WORD

Examples


Lash Consent Form Template UK (1)
Client Information:
[Name of the Client]
[Client’s ID]
[Client’s Address]
[Client’s Phone]
[Client’s Email]
Service Provider Information:
[Name of the Technician]
[Technician’s ID]
[Technician’s Address]
[Technician’s Phone]
[Technician’s Email]
Procedure Description:
This consent form confirms that the Client has been informed about the lash extension procedure, which includes the application of individual synthetic lashes to enhance the length and thickness of natural eyelashes.
Potential Risks:
The Client acknowledges understanding the risks involved, including but not limited to irritation, allergic reactions, and damage to natural eyelashes.
Aftercare Instructions:
The Client agrees to follow aftercare instructions provided by the Technician to maintain the quality and safety of the lash extensions.
Consent:
By signing below, the Client acknowledges that they have read and understood the above information and give consent to proceed with the lash extension procedure.
Signed in [City], [Date].
Sincerely,
[Signature of the Client]
[Name of the Client]
[Signature of the Technician]
[Name of the Technician]
Lash Consent Form Template UK (2)
Client Information:
[Name of the Client]
[Client’s ID]
[Client’s Address]
[Client’s Phone]
[Client’s Email]
Service Provider Information:
[Name of the Technician]
[Technician’s ID]
[Technician’s Address]
[Technician’s Phone]
[Technician’s Email]
Procedure Overview:
This form provides details about the lash extension treatment, which includes the safe application and the types of materials used.
Contraindications:
The Client confirms that they do not have any conditions that might contraindicate the procedure, such as active eye conditions or allergies to adhesives.
Care and Maintenance:
The Client agrees to adhere to the guidelines for care and maintenance to prolong the life of the lash extensions and minimize any potential issues.
Informed Consent:
The Client has had the opportunity to ask questions and is satisfied with the information provided before consenting to the treatment.
Signed in [City], [Date].
Sincerely,
[Signature of the Client]
[Name of the Client]
[Signature of the Technician]
[Name of the Technician]

Printable



Lash Consent Form Template UK