Lash Lift Consent Form

Come ready so your lift takes evenly:

Arrive with clean lashes and no eye makeup — no mascara or waterproof products.
Remove contact lenses for your appointment (bring a case).
Avoid oil-based eye products for a day or two before.
If you’ve never had a lift or tint, let us know so we can patch test for sensitivity.

For the first 48 hours — this part matters most:

Keep lashes completely dry — no water or steam for 48 hours (this is when the lift sets).
No mascara, eyelash curler, or rubbing for the first 24–48 hours.
Avoid oil-based products near the eyes.
Brush gently with a clean spoolie to keep them neat.
Your lift lasts about 6–8 weeks as your natural lashes grow — pair with a tint for extra definition.

👤

Section A — Client Information

First Name *

Last Name *

Phone *

Email *

Date of Birth *

Today's Date *

City

State

Postal Code

Service requested

Emergency Contact Name

Emergency Contact Phone

I agree to receive booking confirmations and appointment reminders at my email address above. *

📸

Section B — Photo Release

I consent to before/after photos being taken for use on social media and website.

Name preference for photos

Use my name No name Fictitious name

🩺

Section C — Medical History

List any known allergies

List all current medications

Client preferences for next visit

Additional notes for next session

✍️

Section E — Client Consent & Signature

Appointment reminders: I consent to receive appointment reminder messages via SMS. Reply STOP to opt out. Promotions: I consent to receive promotional and marketing messages from I Am Beautiful by Mia. Reply STOP to opt out.

By checking the SMS boxes above, you agree that I Am Beautiful by Mia may contact you at the number provided. This is not a condition of service.

Before Your Appointment

Aftercare

Section A — Client Information

Section B — Photo Release

Section C — Medical History

Section D — Lash Lift Contraindications

Section E — Client Consent & Signature