Eyelash Extension Consent Form Template

Lash appointments need a clear yes before adhesive goes near the eye. This consent form records allergies, recent eye treatment, and the style the client wants.

Great for

• Lash artists booking new clients
• Salons that want the same consent on every appointment
• Studios keeping a signed record with the booking

Ask about allergies and recent eye treatment before the service, and stop if the client is unsure.

This form records consent. It does not replace your aftercare instructions.

Questions in this template

1. Client name *
   Name
2. Email *
   Email
3. Phone
   Phone
4. Allergy to adhesive or latex? *
   Yes or no
5. Eye surgery or infection in the last 8 weeks? *
   Yes or no
6. Lash style *
   Multiple choice Classic, Hybrid, Volume
7. I consent to eyelash extensions today *
   Yes or no
8. Signature *
   Signature