Lash extension consent form template for lash artists

Copy this consent form, replace the parts in brackets, and have every client sign it before their first lash set. Asking about adhesive allergies, eye conditions and contact lenses before the client lies down gives you time to adjust the products, and a signed form records what the client told you and what you explained.

The form, ready to copy

[Business name] lash extension consent form

Client name: ____________ Phone: ____________ Date: ____________

Do any of these apply to you right now? Allergy to adhesives, latex or cosmetics / Eye infection, irritation or recent eye surgery / Contact lenses / Sensitive skin or eczema around the eyes / Pregnancy / None of these

Have you had lash extensions before? Yes / No

Tell us more, including allergies, medications or any reaction you had to lash products before: ________________________________

I understand that lash extensions are applied with an adhesive near the eyes and that irritation or an allergic reaction can happen. I will keep my eyes closed during the service and tell my artist right away if I feel discomfort. Initials: ____

I will follow the aftercare instructions I receive, and I understand that removing extensions myself can damage my natural lashes. Initials: ____

Signature: ____________________

Add a line for anything you always ask, such as a patch test date or the lash style the client chose. Rules for lash services and client records vary by state, so check what your state cosmetology board asks you to keep.

How to use it

Have clients sign it online with Belcome

  1. In Settings, open Forms and tap Add from a template. Lash, brow and nail studios see Lash extension consent, ready to use.
  2. Edit any question, add a field with Add field, and pick the type: Yes or no, One choice, Several choices, Initials or Signature.
  3. Under Services that ask for it, pick your lash services, and under Ask again choose Once a year or Every visit.
  4. Clients get a link in their booking confirmation to fill in and sign the form from their phone before the visit. Someone who walks in can sign it on your tablet with Sign forms at the front desk.
  5. The visit shows Forms pending or Forms signed, and the client's record keeps every signed form under Signed forms, with Open PDF for a copy.

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Questions about lash extension consent forms

What should a lash extension consent form include?

Allergies to adhesives, latex or cosmetics, current eye conditions or recent eye surgery, contact lenses, sensitive skin around the eyes, whether the client had extensions before, a note that irritation or an allergic reaction can happen, the aftercare promise and the client's signature. The template above covers each of these.

Do clients have to sign it at the studio?

No. With Belcome, the booking confirmation carries a link to fill in and sign the form on the client's phone before the visit. Clients who did not can sign it at the front desk on your tablet.

How often should a client sign it again?

Belcome asks again once a year by default. Change Ask again to Every visit if you want fresh answers at every fill.

Can I use my own wording?

Yes. Start from the template and edit, add or remove fields. Changing the questions creates a new version, and forms already signed keep the wording the client saw.

Is this a legal document?

It is a starting point that records what the client told you and what you explained. Follow the rules of your state cosmetology board, and adapt the wording to your studio.