TemplatesLash extension
eyelash extension waiver
A lash waiver and a lash consent form contain the same screening.
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- screening questions
- 9screening questions
- stop the appointment
- 5stop the appointment
- minutes to set up
- 10minutes to set up
- a month to start
- $8a month to start
Lash extension consent
Full name
Date of birth
Email
Phone
Have you ever reacted to lash glue, eyelash extensions or cyanoacrylate?
YesNo
Adhesive reaction history
Why this form, specifically
It gets the aftercare signed rather than handed over, so the picking that caused the damage is a documented undertaking rather than your word against hers.
Look before you download
The whole document, before you give us anything
Lash extension consent
Your details
Full name
Date of birth
This is where your aftercare instructions go.
Phone
Health questions
Have you ever reacted to lash glue, eyelash extensions or cyanoacrylate?
Have you had a patch test at least 48 hours ago?
Do you have any eye condition, infection or recent eye surgery?
This is the form you get
Not a sample, not a preview of a preview. Every question below is in your account ten minutes after you sign up, with the flags already set and the aftercare email already written.
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The 9 answers that should stop you
A lash waiver and a lash consent form contain the same screening. What a waiver adds is an explicit acceptance of two things clients rarely anticipate: that a reaction can develop after years of tolerating the treatment, and that picking causes the damage they will later attribute to the extensions.
Do not treat
5WhyCyanoacrylate adhesives sensitise on repeated exposure. Once a client is sensitised, the next exposure is usually worse and faster, not milder.
What goes wrong if you treat anywaySwollen, weeping lids, sometimes closing the eye entirely, and in a minority of cases an emergency department visit. This is the claim that costs a lash tech their insurance.
What to doDo not apply. A previous mild reaction is not permission to try again with a 'sensitive' glue - sensitisation does not reverse.
The question that catches itHave you ever reacted to lash glue, eyelash extensions or cyanoacrylate?
WhyA delayed hypersensitivity reaction takes 24 to 48 hours to appear. A test done on the day tells you nothing.
What goes wrong if you treat anywayBeyond the client's reaction: most professional lash policies require a documented patch test, and an undocumented one is a declined claim.
What to doPatch test 48 hours ahead, every new client, and re-test after a long gap or a product change. Store the record with a timestamp, because 'we did one' is not evidence.
The question that catches itHave you had a patch test at least 48 hours ago?
WhyThe lid margin is already inflamed and colonised. Extensions trap debris at exactly the point that needs to be kept clean.
What goes wrong if you treat anywayThe infection worsens and spreads, retention is poor, and the client blames the lashes.
What to doPostpone until it is fully resolved and refer to a pharmacist or GP. Blepharitis in particular needs managing before any lash work is sensible.
The question that catches itDo you have any eye condition, infection or recent eye surgery?
WhyPost-surgical eyes are dry, sensitive, and often still on a drop regime that will disturb adhesive cure.
What goes wrong if you treat anywayIrritation, very poor retention, and a client who has spent money twice.
What to doWait until the surgeon has signed them off, usually three months. Ask for that specifically.
The question that catches itDo you have any eye condition, infection or recent eye surgery?
WhyA lift restructures the disulphide bonds in the lash. The lash is porous and the curl fights the extension's line.
What goes wrong if you treat anywayExtensions that will not sit straight and fall within days.
What to doWait two weeks minimum, and set the expectation that retention will still be below normal.
The question that catches itHave you had a lash lift or perm in the last 2 weeks?
Proceed with caution
3WhyThere must be a healthy natural lash to bond to. Sparse or fragile lashes cannot carry weight, and pulling behaviour will strip natural lashes along with extensions.
What goes wrong if you treat anywayPermanent damage to what is left of the natural lash line.
What to doHandle with obvious care. Light, short extensions only, or decline kindly. Clients mid-chemotherapy should have their oncology team's view first.
The question that catches itHave you had any lash loss, thinning or lash-pulling?
WhyNo evidence that adhesive fumes reach the baby, but hormonal shifts change the lash growth cycle, and lying flat on the back for two hours is uncomfortable and, late on, inadvisable.
What goes wrong if you treat anywayPoor retention that reads as bad work, and a physically miserable appointment in the third trimester.
What to doTreat, with the client propped rather than flat, in shorter sessions, and with retention expectations set honestly in advance. Ventilate well.
The question that catches itAre you pregnant or breastfeeding?
WhyProstaglandin analogues change the lash growth cycle and are associated with lid irritation and pigmentation.
What goes wrong if you treat anywayUnpredictable shedding, irritation that gets attributed to the adhesive, and disappointing retention.
What to doTreat, but document it and set expectations. Ask them to pause a cosmetic serum, never a prescribed drop.
The question that catches itDo you use any eye drops or lash growth serum?
Safe to proceed
1WhyNot a contraindication. Lenses simply must come out before the eye is taped closed for two hours.
What goes wrong if you treat anywayLeft in, the client ends the appointment with dry, gritty, irritated eyes and blames the glue.
What to doAsk them to remove lenses before you start and bring a case. Say it in the booking confirmation, not on arrival.
The question that catches itDo you wear contact lenses?
What you actually get
Nobody buys a consent form
They buy the fifteen minutes back at the start of an appointment. They buy the phone call they did not have to make, because the contraindication turned up two days early instead of two minutes late. They buy an insurer who pays out, because the patch test has a timestamp rather than a memory attached to it.
The form is the mechanism. What you are actually buying is the record it leaves behind.
That is the whole argument, and it is why the questions matter more than the software. A blank form builder hands you a canvas and calls it flexibility. This hands you the nine questions that a waxing client should be asked, in the wording that gets an honest answer, with the risky one already flagged in red.
What this saves you
Not what the form contains - what it gives you back. Every number below is arithmetic you can check on the calculator further down the page.
A defensible claim
instead of a disputed memory
Most professional policies in these trades condition cover on documented screening, and a patch test you can describe is not a patch test you can produce. A timestamped record is the difference between a claim your insurer defends and one they decline.
4 seconds
from signature to aftercare email
The aftercare for their treatment lands in their inbox before they have left the chair, written for that service and editable in your words. Clients who follow aftercare heal better, complain less and rebook more - and you did nothing.
12 hours
a year, back in your chair
A new client filling in a paper form in your treatment room costs ten to fifteen minutes of an appointment they already paid for. Send it with the booking confirmation and that time goes back into treating, at roughly twelve hours a year on twenty clients a week.
Seconds
to find any client's form
The reason to leave paper is not the signing, it is the finding. When a health inspector or a solicitor asks for one specific record from eighteen months ago, you search a name instead of an afternoon.
Same week. One thing changed.
The left-hand column is most studios today. The right-hand one is the same week with the form sent at booking instead of handed over on arrival.
- You patch test, but the record is a note in your phone
- Set seven, and her lids swell overnight
- The insurer asks for the patch test record
- You have one from two years ago, on paper, in a box
Nothing here is negligent. It is just undocumented.
- Every patch test is dated, timed and stored against her name
- The system flagged that she was due a re-test after your glue change
- Set seven happens on a client you tested last week
- If it goes wrong anyway, you can produce the whole history in seconds
Same treatments, same clients, same you. Different record.
Try the flag
Answer these as if you were the client
Answer honestly and nothing happens. Answer yes to the one that matters and watch what lands on your side.
What the client sees
Have you ever reacted to lash glue, eyelash extensions or cyanoacrylate?
Have you had a patch test at least 48 hours ago?
Have you had any lash loss, thinning or lash-pulling?
Are you pregnant or breastfeeding?
What you see
Answer honestly and nothing happens. Answer yes to the one that matters and watch what lands on your side.
In your submissions list
Lash extension
What goes wrong without it
A client picks.
She has picked at every set for a year, has been asked not to, and has been given a written aftercare card each time. Her natural lashes are now visibly sparse and she wants compensation, arguing the extensions were applied too heavily. The technician knows exactly what happened and can prove none of it: the aftercare cards were handed over, never signed, and the client's account is that she was never warned. One checkbox reading 'I understand that picking or pulling extensions removes the natural lash with them' would have ended the conversation in a sentence.
What a lash extensions waiver has to cover
The actual field list, and why each group is on this particular form.
Identity and patch test
- Full name
- Date of birth
- Contact details
- Patch test date, time and result
Whatever the heading says, the patch test record is the load-bearing element. A waiver without one is a signature on a document your insurer will not accept.
Risks assumed
- Allergic reaction to adhesive, including on later appointments
- Eye irritation and temporary redness
- Natural lash damage from picking or pulling
- Retention varies with the natural growth cycle
- Reaction may develop after previously tolerating the treatment
The last line is the one that matters and the one every generic waiver omits. Sensitisation on the seventh set is the characteristic lash claim, and a client who has agreed in advance that this can happen is in a different position from one who has not.
Aftercare undertaking
- No water or steam for 24 hours
- No oil-based products near the eye
- No mechanical lash curlers
- No picking or pulling
- Cleanse daily with a lash-safe cleanser
- Attend infills within the agreed interval
Almost all natural lash damage is picking, and almost all retention complaints are oil or missed infills. Signed undertakings on those four lines resolve most disputes before they start.
Screening and signature
- Full eye and allergy screening
- Consent statement
- Signature with timestamp
The screening is what an adjuster reads. The release wording is what a lawyer argues about, and it wins less often than people expect.
Is a digital signature legally valid?
Exact time signed
IP address
Device and browser
The exact form they saw
Yes - the US ESIGN Act and the state UETA adoptions give it the same legal effect as ink. What makes it hold up is the evidence stored beside it, and a paper form in a drawer carries none of this.
Sign with your fingerDraw a signature with your mouse or trackpad
Where you stand legally
The enforceability limits that apply to any consumer liability release apply here: a waiver will generally not excuse the business's own negligence, and in several states it will not be enforced at all. That matters less than usual in lash work, because the claims that actually arrive are not really about negligence - they are about whether the screening and patch test happened. The waiver's genuine value is therefore evidential and concentrated in two places: the patch test record, which satisfies the policy condition, and the aftercare undertaking, which answers the natural lash damage claim. It is worth being deliberate about the sensitisation wording. A client who has signed an acknowledgement that a reaction can develop after previously tolerating the adhesive is materially harder to persuade that the technician changed something or did something wrong. Keep the release paragraph narrow, keep the screening thorough, and have the release wording reviewed for your state. Not legal advice.
Paper, PDF or digital?
Paper
Fine when you are small
- Signed before they arrive
- Flags contraindications
- Findable by name in seconds
- Proves when it was signed
- Sends aftercare automatically
- Costs nothing
Emailed PDF
Worst of both
- Signed before they arrive
- Flags contraindications
- Findable by name in seconds
- Proves when it was signed
- Sends aftercare automatically
- Costs nothing
Digital
Earns its place at scale
- Signed before they arrive
- Flags contraindications
- Findable by name in seconds
- Proves when it was signed
- Sends aftercare automatically
- Costs nothing
Three clients a week? Print it and staple it in a binder. That is genuinely fine, and software would be an expense with no return. Digital earns its place around ten to fifteen clients a week, when finding one form again matters more than the minutes it took to file it.
Questions people actually ask
In emphasis only. The waiver stresses risks accepted and aftercare undertaken; the consent form stresses understanding of the treatment. The screening is identical and the patch test record is the important part of either.
Your form is written. Come and get it.
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General guidance for professionals, not legal or medical advice. Check the rules that apply where you work.