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
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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.
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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