Lash Lift Consent Form
Consent form for lash lift and lash perm services. Covers chemical processing risks, contraindications, and expected results.
Last updated: April 2026
Researched by the CheckinPulse Research Team
Use This Form Digitally
Paper forms work, but digital forms work better. Here is what you get when you use this template on CheckinPulse:
Clients fill out on their phone (no app needed)
Scan a QR code or tap a link — works on any device
E-signatures with legal timestamp
IP address, timestamp, and audit trail on every signature — valid in all 50 states under the E-SIGN Act
Submissions go straight to your dashboard
No more clipboards, filing cabinets, or illegible handwriting
PDF waivers stored for 7 years
Encrypted, searchable, and accessible anytime on paid plans
Form Preview
This is what your clients will fill out. 12 fields, mobile-friendly.
Lash Lift 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 a lash lift/perm treatment using chemical processing solutions. I understand that results vary based on natural lash length, thickness, and condition. Risks include irritation, allergic reaction to perming solution or tint, over-processing, and temporary lash damage. Results typically last 6-8 weeks. I have disclosed all allergies and eye conditions. I release the provider from liability for results within the normal range of outcomes.
Legal References
The federal law that makes electronic signatures on consent forms and waivers legally equivalent to handwritten signatures in all 50 US states.
Frequently Asked Questions
No. Extensions need to be fully removed first, and most providers recommend waiting at least 2 weeks for natural lashes to recover. Your consent form should ask this upfront to avoid surprises at the appointment.
Over-processing (leaving the solution on too long, which can crimp or damage lashes), allergic reaction to the perming solution, and eye irritation. These are uncommon when done correctly, but they're the main reasons you need a consent form.
Typically 6-8 weeks, matching the natural lash growth cycle. Results vary depending on lash length and thickness. Your consent form should set this expectation so clients don't come back at week 4 expecting a free redo.
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