Online Consultation Form

Please complete this before your appointment. Your answers are kept confidential and help us keep your treatment safe and tailored to you.

Section 1

Your details

Full name

Date of birth

Phone

Treatment you're interested in

Section 2

Medical history

Are you currently receiving treatment for an eye condition, injury, or skin issue?

Do you have any allergies (to perms, tints, adhesives, latex, or cosmetics)?

Do you suffer from irritated, itchy, dry or watery eyes?

Are you taking any medication that may affect your skin or eyes?

Have you had any recent surgery, including cosmetic surgery?

Do you wear contact lenses?

Are you currently pregnant or breastfeeding?

Do you use active skincare (retinol, acids, etc.) around the eye area?

Section 3

Treatment history

Have you had a lash lift, tint or brow lamination before?

Have you had any lash or brow treatment in the last 4 weeks?

Have you ever had an adverse reaction to a lash or brow treatment?

Anything else we should know?

Section 4

Client consent

I confirm that the information I have given is true and complete to the best of my knowledge. I understand that a complimentary patch test is required at least 24 hours before my first treatment, and that A's Beauty Edit cannot be held responsible for any reaction if I decline one. I understand results can vary depending on natural lash and brow condition, and I consent to the treatment I have selected being carried out.

I have read and agree to the consent statement above.

Your signature

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Section 5

Patch test consent

I understand a patch test is carried out to check for sensitivity to the products used. I agree to report any reaction (redness, itching, swelling) to A's Beauty Edit before my treatment goes ahead.

I consent to a patch test and agree to the statement above.

Patch test signature

Sign here with your mouse or finger

Your details are stored securely and only used to deliver your treatment safely.