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Brow Consultation
Brow Lamination and Tint Consultation
Please complete before your appointment. Your answers help me understand your brow history, skin sensitivities and preferred result.
YOUR DETAILS
Full name
*
Date of birth
*
Mobile number
*
Appointment date
*
YOUR BROW HISTORY AND PREFERENCES
Which treatment are you having?
*
Lamination
Tint
Both
Have you had brow lamination or tint before?
*
A
Yes
B
No
When was your most recent brow treatment?
*
Have you ever reacted to brow tint, lamination, wax or henna?
*
A
Yes
B
No
Preferred brow shape
*
A
Natural
B
Fluffy
C
Defined
D
Not sure
Preferred tint depth
*
A
Light
B
Medium
C
Dark
D
Not sure
SKIN AND SENSITIVITY CHECK
Please tick anything that applies:
*
Irritation, sunburn, broken skin or rash around the brows
Allergy or sensitivity to tint/PPD, henna, lamination or wax
Previous reaction to a brow or eye-area treatment
Eczema, psoriasis, dermatitis or another skin concern near brows
Recent peel, laser, microblading or other brow/skin treatment
Use of retinoids, exfoliating acids or skin-sensitising products
Other relevant allergy, health concern or medication
None of these apply
Please give details:
*
PATCH TEST RECORD
Patch test date
*
Product / result / notes
*
Patch test status
*
A
Completed as required
B
Not yet completed
A negative patch test cannot guarantee that a reaction will not occur.
CONSENT AND TREATMENT RECORD
Please confirm:
*
I confirm that the information I have provided is accurate and complete. I will tell my technician if anything changes before my appointment.
I understand that patch testing must be completed in line with the product manufacturer’s instructions and The Lash Edit’s patch test policy before treatment. A negative result does not guarantee that a reaction will not occur.
I understand that brow lamination, tinting and waxing may cause irritation or an allergic reaction. Treatment may be postponed or declined if my answers, skin condition or patch test result indicate it may not be suitable on the day.
I have had the opportunity to ask questions. I understand that results vary and agree to follow the aftercare instructions provided.
I understand that recent skin treatments or products may affect skin sensitivity and I have disclosed these in this form.
CONSENT
*
A
I consent to the brow treatment discussed today.
B
I do not consent to treatment today.
Client signature
*
Sign here
Date
*
OPTIONAL PHOTO CONSENT
May I take before-and-after photos for your treatment record?
*
A
Yes
B
No
May I share photos on The Lash Edit’s social media?
*
A
Yes
B
No
Submit
