Consent Form - Brow Lamination

BROW LAMINATION CONSENT FORM

It’s best to refrain from treatment during chemotherapy, and several months after your last treatment, as the brows are still susceptible to the effects of the drugs. Ideally, you’ll want to wait until the natural brows are less fragile. A letter from your Oncologist stating they are happy for you to receive treatment should be obtained.

NAME

AFTER CARE

AFTER LAMINATION BROW TINT

TREATMENT CONSENT:

I acknowledge the possible side effects and additional risks from my medical history. I agree to the treatment. I have carried out a patch test 48 hours if I am sensitive to ingredients/hair color before the date of my appointment if requested by my technician. I have read and understood all of the information provided above and within my consultation. I am satisfied with the explanation of the treatment and aftercare from my Technician. I have answered the questions regarding my medical history truthfully and to the best of my knowledge. I agreed to contact my Technician immediately in the event of any adverse effects. I hereby authorize the fully trained and certified Stylist to perform the treatment on myself.

I have read the above information. If I have any concerns, I will address these with my specialist. I give permission to my therapist to perform the tinting procedure we have discussed, and will hold him/her and his/her staff harmless from any liability that may result from this treatment. I have accurately answered the questions above, including all known allergies, prescriptions or products I am currently ingesting or taking topically. I understand my therapist will take every precaution to minimize or eliminate negative reactions as much as possible. In the event I may have additional questions or concerns regarding my treatment, I will consult the esthetician immediatley. I agree that this constitutes full disclosure and that it supersedes any previous opportunity for discussion to have any questions answered. I understand the procedure and accept the risks. I do not hold the esthetician whose signature appears below, responsible for any of my conditions that were present but not disclosed at the time of this skin care procedure, which may be affected by the treatment performed today.

PLEASE UPLOAD DOCTOR CONSENT LETTER IF APPLICABLE

CONSENT: FULL NAME

DATE

BROW LAMINATION CONSENT FORM

© VON FREUDENBERG ENTERPRISES, INC. 2023

SALON NOTICE: WE WILL BE CLOSED: DEC 22-25 '23 | JAN 1st '24

GIVE A GIFT CARD!

no minimum
any $ dollar amount
for product purchases only
can be applied at checkout

BROW LAMINATION CONSENT FORM

© VON FREUDENBERG ENTERPRISES, INC. 2023

SALON NOTICE: WE WILL BE CLOSED: DEC 22-25 '23 | JAN 1st '24

GIVE A GIFT CARD!

no minimumany $ dollar amount for product purchases only can be applied at checkout

no minimum
any $ dollar amount
for product purchases only
can be applied at checkout