Should I add specific sections to the Lash Extension Consent Form for different types of adhesives?

Yes, you can use the builder to include checkboxes for different adhesive strengths or brands if you test them on various client skin types. This ensures your record reflects the specific supplies used for each individual appointment.

How can I ensure clients acknowledge the detailed aftercare routines included in this form?

Use the form builder to add an electronic signature field directly after the aftercare section to confirm the client has read and understands their post-procedure responsibilities. You can also include a request for them to initial next to each critical care instruction.

Can I set up this consent form to be completed on a tablet at my salon's front desk?

Absolutely, our kiosk mode allows you to lock the device to the form, making it easy for clients to sign in as they arrive. This keeps your front desk operations smooth and ensures every client signs before they head back to your lash station.

Is it possible to attach a document showing the client's lash style preferences along with the consent form?

Yes, the file upload field allows clients to upload inspiration photos or custom notes directly to their signed document. This centralizes their style preferences alongside their consent, keeping all relevant appointment data in one organized place.

Lash Extension Consent Form

This Lash Extension Consent Form allows beauty professionals to document client acknowledgement of potential risks, adhesive reactions, and required aftercare steps before performing eyelash application services.

Created by Marcus Bell · Compliance writerUpdated Jun 20, 2026

Use this template

Preview

Consent

Lash Extension Consent Form

By signing this document, you are providing your informed consent to receive professional lash extension services at our studio. You acknowledge that you have reviewed the details of the application process and fully understand the nature of the eyelash enhancement procedure you are about to undergo.

I acknowledge that I have been fully informed regarding the application of synthetic lash extensions, including the use of semi-permanent adhesives near the ocular area. I understand that common considerations include potential eye irritation, allergic reactions to adhesive components, and the necessity of proper aftercare to maintain lash health and prevent damage to my natural lashes. I have had the opportunity to ask questions regarding the service, the materials being used, and the expected results, and all of my inquiries have been answered to my satisfaction. Having been informed of these specific aspects, I voluntarily choose to proceed with the lash application.

I grant permission for the studio to capture photographs or video footage of my lashes before and after the service for the purposes of maintaining accurate clinical records, tracking procedure results, and professional marketing on our social media and website platforms. Furthermore, I consent to the collection and use of the personal and health information provided in this form, which will be stored securely and used exclusively to administer my appointments, manage my client profile, and provide necessary communication regarding my lash care.

Participant details

Full legal name*

First name

Last name

Email address*

Phone number

Date of birth*

Lash set type

Known eye sensitivities

History of lash extensions

First time

Experienced user

Agreement & signature

I confirm that I have read this document in its entirety, understand its contents, and am signing this consent form voluntarily. I verify that I am at least 18 years of age and legally competent to provide this consent for the specified lash extension services.

I have read and give my consent as set out in this form.*

Signature*

Sign here

Date*

Parent / guardian (minors under 18)

Minors: under 18 years of age

Parent / legal guardian printed name

First name

Last name

Relationship

Parent / legal guardian signature

Sign here

Date

About this template

The Lash Extension Consent Form is a digital document designed for beauty professionals to verify that clients understand the particulars of eye-related procedures. You can customize this template with your salon logo, brand colors, and specific service details to ensure it matches your business identity. Using the platform tools, you can add or remove fields to capture precise client information before the application begins.

Signing Method	Best For
In-person Kiosk	Clients filling out forms while waiting in the studio.
Email/SMS Link	Sending documents to clients before their appointment date.
Website Embed	Allowing clients to sign forms directly on your business site.

This form is standard in lash bars, aesthetic studios, and med-spas to confirm that a client acknowledges the nature of eyelash extension application. It acts as an instructional guide that outlines potential reactions to adhesives, expected eye sensations, and necessary maintenance steps. Professionals use this to standardize the onboarding process for every client, ensuring everyone is informed prior to the start of the service.

Questions about this waiver

Should I add specific sections to the Lash Extension Consent Form for different types of adhesives?: Yes, you can use the builder to include checkboxes for different adhesive strengths or brands if you test them on various client skin types. This ensures your record reflects the specific supplies used for each individual appointment.
How can I ensure clients acknowledge the detailed aftercare routines included in this form?: Use the form builder to add an electronic signature field directly after the aftercare section to confirm the client has read and understands their post-procedure responsibilities. You can also include a request for them to initial next to each critical care instruction.
Can I set up this consent form to be completed on a tablet at my salon's front desk?: Absolutely, our kiosk mode allows you to lock the device to the form, making it easy for clients to sign in as they arrive. This keeps your front desk operations smooth and ensures every client signs before they head back to your lash station.
Is it possible to attach a document showing the client's lash style preferences along with the consent form?: Yes, the file upload field allows clients to upload inspiration photos or custom notes directly to their signed document. This centralizes their style preferences alongside their consent, keeping all relevant appointment data in one organized place.

This template is framed for US and provided as a software tool, not legal advice. Waiver enforceability varies by jurisdiction and circumstance — confirm the final wording with your own counsel before relying on it.