TemplatesLash lift
lash lift consent form
A lash lift is a chemical process on the eye, and a tint adds a dye with a genuine anaphylaxis history.
- 14-day trial
- No card needed
- Set up in 10 minutes
- Cancel anytime
- screening questions
- 8screening questions
- stop the appointment
- 6stop the appointment
- minutes to set up
- 10minutes to set up
- a month to start
- $8a month to start
Lash lift consent
Full name
Date of birth
Email
Phone
Have you had a patch test at least 48 hours ago?
YesNo
Dye or PPD reaction
Why this form, specifically
It asks about hair dye and PPD by name, which is the only phrasing that gets a true answer to the one contraindication in beauty with documented fatalities behind it.
Look before you download
The whole document, before you give us anything
Lash lift consent
Your details
Full name
Date of birth
This is where your aftercare instructions go.
Phone
Health questions
Have you had a patch test at least 48 hours ago?
Do you have any eye condition, infection or recent eye surgery?
Have you ever reacted to hair dye, tint or PPD?
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.
- 14-day trial
- No card needed
- Set up in 10 minutes
- Cancel anytime
The 8 answers that should stop you
A lash lift is a chemical process on the eye, and a tint adds a dye with a genuine anaphylaxis history. The screening is stricter than the treatment's gentle reputation suggests, and the two products need to be screened separately.
Do not treat
6WhyLash tints share the paraphenylenediamine family with hair colour. Sensitisation is cross-reactive and permanent.
What goes wrong if you treat anywayLid and facial swelling, and in documented cases anaphylaxis. This is the one contraindication in beauty that has killed people.
What to doDo not tint. A lift without tint is usually still fine, but the tint is off the table for good.
The question that catches itHave you ever reacted to hair dye, tint or PPD?
WhyDelayed hypersensitivity to both the lifting lotion and the tint needs 24 to 48 hours to show.
What goes wrong if you treat anywayAn untested reaction on the eye area, and an insurance policy that will not respond.
What to doPatch test behind the ear or in the inner elbow 48 hours ahead, and record the result with a timestamp.
The question that catches itHave you had a patch test at least 48 hours ago?
WhyLifting lotion sitting on an already inflamed lid margin for ten minutes is a chemical insult on top of an infection.
What goes wrong if you treat anywaySignificant irritation, worsening infection, and a poor lift.
What to doPostpone until it has fully settled, and refer to a pharmacist or GP rather than suggesting a remedy yourself - advising on an inflamed eye is outside a lash technician's scope in every state.
The question that catches itDo you have any eye condition, infection or recent eye surgery?
WhyThe lash has not grown out. Re-processing already-processed lash is how lashes end up frizzed and broken.
What goes wrong if you treat anywayBrittle, kinked, permanently damaged lashes that take a full cycle to replace.
What to doSix to eight weeks between lifts, no exceptions, however much they want it.
The question that catches itWhen was your last lash lift or perm?
WhyLifting lotion cannot reach the natural lash through adhesive, and the solution degrades the bond unpredictably.
What goes wrong if you treat anywayA half-processed lift and extensions falling off in clumps.
What to doRemove extensions professionally first and let the natural lash recover for a week.
The question that catches itAre you currently wearing lash extensions?
WhyPost-surgical dryness and sensitivity plus a chemical process is an avoidable risk.
What goes wrong if you treat anywayIrritation on an eye that is still healing.
What to doWait for the surgeon to sign them off, which is usually around three months. Ask for that specifically rather than accepting "I feel fine now" - post-surgical dryness outlasts how the eye feels.
The question that catches itDo you have any eye condition, infection or recent eye surgery?
Proceed with caution
2WhyHormonal change makes reactions less predictable and can alter how the lash takes both the lift and the tint.
What goes wrong if you treat anywayAn uneven result, and a small but real increase in reaction risk.
What to doMany insurers exclude tinting in pregnancy. Read your own policy before you agree, and re-patch-test regardless of history.
The question that catches itAre you pregnant or breastfeeding?
WhyIsotretinoin dries and thins the lid skin and makes lashes more fragile.
What goes wrong if you treat anywayLash breakage during processing and lid irritation from the lotion.
What to doPostpone until the course is finished and the skin has settled. Patch test again before restarting.
The question that catches itHave you taken isotretinoin (Accutane) in the last 6 months?
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.
Contraindication checker
Can you treat a client who...?
Pick a treatment and a condition. The answer comes with the reason behind it, and the form question that catches it.
Pick a condition
Every answer here is the same rule set that ships inside the product's forms.
A lift is a chemical process, and a tint adds a dye with a genuine anaphylaxis history. The screening is stricter than the treatment's reputation suggests.
Lash lift
What goes wrong without it
A client mentions, halfway through the consultation, that she once had a reaction to a box hair dye years ago.
It was mild - an itchy scalp for a day - and she does not think of it as an allergy. The technician patch tests the lifting lotion, which is negative, and proceeds with the tint on the same visit because the lotion test was clear. Within four hours the client's face is swelling. She is fine, after antihistamines and a very frightening evening. The consent form asked about 'allergies' and she had answered no, because she does not consider an itchy scalp an allergy. It did not ask about hair dye, tint or PPD by name, which is the only phrasing that gets a true answer to this question.
What a lash lifts consent form has to cover
The actual field list, and why each group is on this particular form.
Identity and contact
- Full name
- Date of birth
- Phone
Date of birth matters more here than on an extension form, because tinting minors is excluded by a number of insurance policies outright.
Patch test, both products
- Patch test completed for the lifting lotion
- Patch test completed for the tint
- Date and time
- Result at 48 hours
Two products, two tests. A patch test for the lifting lotion tells you nothing about the tint, and the tint is the one with the anaphylaxis history.
Dye and allergy history
- Previous reaction to hair dye, tint or PPD
- Previous reaction to a lash lift
- Eye infection, blepharitis or severe dry eye
- Eye surgery in the last 3 months
- Currently wearing lash extensions
- Lash lift or perm in the last six weeks
- Isotretinoin
- Pregnant or breastfeeding
The hair dye question is doing all the work. Lash tints share the PPD family with hair colour, sensitisation is cross-reactive and permanent, and this is the one contraindication in beauty with documented fatalities behind it.
Expectations and consent
- Result lasts six to eight weeks
- No water or steam for 24 hours
- Cannot be lifted again for six to eight weeks
- Natural lash length does not change
- Consent initials
- Photo permission
- Signature with timestamp
The 'natural lash length does not change' line prevents the most common disappointment. A lift makes short lashes look longer by opening the eye - it does not make them longer.
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
Lash lifting and tinting require a cosmetology or esthetics licence in most US states, and the insurance conditions are the sharper constraint. Nearly every professional policy that covers tinting requires a documented patch test performed 24 to 48 hours in advance, re-tested after any product change and, in many policies, re-tested for pregnant clients regardless of prior history. Several policies exclude tinting minors entirely. The reason the insurance industry treats this treatment more seriously than its reputation suggests is that paraphenylenediamine sensitisation is cross-reactive with hair dye, permanent once established, and has produced documented anaphylaxis. A client who has reacted to hair colour has reacted to this. Beyond the patch test, the practical compliance point is that lifting lotion is applied to a closed eye for a timed period, and a burn from over-processing is a straightforward negligence claim that no consent form defends against. Time it, record it. 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
Both, separately. The lifting lotion and the tint are different chemistries with different sensitisation profiles, and a clear test for one says nothing about the other.
Your form is written. Come and get it.
Pick your service, and it is in your account before you have finished making a coffee. 14 days free, no card.
- 14-day trial
- No card needed
- Unlimited forms
- Cancel anytime
General guidance for professionals, not legal or medical advice. Check the rules that apply where you work.