Lash Consent Form
General consent form covering all lash services — extensions, lifts, and tints. Includes allergy screening and aftercare acknowledgment.
Last updated: April 2026
Researched by the CheckinPulse Research Team
Form Preview
This is what your clients will fill out. 11 fields, mobile-friendly.
Lash Consent Form
All fields marked with * are required
Consent / Waiver Language
This waiver text is included at the bottom of the form, above the signature field.
I consent to the lash service selected above and acknowledge that risks may include allergic reactions to adhesive, perming solution, or tint; eye irritation; natural lash damage; and temporary redness or swelling. I have disclosed all allergies, eye conditions, and medications. I agree to follow aftercare instructions and understand that failure to do so may affect results. I release the service provider from liability for reactions due to undisclosed conditions.
Frequently Asked Questions
A general lash consent form covers all lash services — extensions, lifts, and tints. A lash extension consent form is specific to extensions and goes deeper on adhesive risks. If you offer multiple lash services, a general form saves you from maintaining separate documents.
Yes. Lash tints use semi-permanent dye near the eyes, and allergic reactions aren't uncommon. The FDA hasn't approved any dye for use on eyelashes, so documenting consent is especially important. A patch test 24-48 hours before is standard practice.
Don't do the service. It's that simple. A client who won't sign consent is a client who'll blame you if anything goes wrong. Most clients sign without issue once you explain it's for their protection too — it keeps you accountable for doing things right.
Ready to go paperless?
Turn this template into a digital form your clients fill out on their phone. E-signatures, auto-saved PDFs, and a dashboard to manage everything. Free to start.
Start free — no card neededRelated Templates
Waxing Consent Form
A consent form for waxing services covering skin sensitivity, allergies, and aftercare instructions. Ready to use for any waxing salon or esthetician.
Lash Extension Consent Form
Consent form for eyelash extension services including allergy disclosures, adhesive sensitivity warnings, and aftercare acknowledgment.
Facial Consent Form
Consent and intake form for facial treatments including chemical peels, microdermabrasion, and standard facials. Covers skin type, sensitivities, and product allergies.
Botox Consent Form
Informed consent form for Botox and neurotoxin injections. Covers risks, contraindications, expected results, and post-procedure instructions.