Date of Treatment*

Please confirm you understand that brow lamination and lash lift involves using chemicals during the process, and that there are possible side effects such as skin reactions , possible irritation*

Are you currently using any skincare that contains Retinoids?*

Do you have any allergies?*

Have you previously had your lashes or brows tinted?*

Have you previously had a Lash Lift or Brow Lamination?*

Have you previously had a adverse reaction to any of the above treatments?*

I understand that treatments on the lashes or brows has some inherent risk of irritation to the skin, orbital eye including the eye itself, and could result in stinging or burning, blurry vision*

I understand that if the tinting agent, developer, or mixture of both accidentally come into with my eye, my eye will be flushed with water and medical attention may be required.*

I confirm I have engaged with a Patch test 48 hours prior to treatment as recommended by The Laser & Brow Edit. *

Date of Signature*