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    Client Record Book

    Uploaded by

    drakeklyde
    This document contains forms for collecting client information for eyelash extension services. The client intake form collects contact details, preferred lash style, medical history, marketing consent. The client consent form outlines risks and responsibilities, requiring signature. Records include signature, photo, notes on lifestyle and medical details.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Client Record Book

    Uploaded by

    drakeklyde
    6 views4 pages
    This document contains forms for collecting client information for eyelash extension services. The client intake form collects contact details, preferred lash style, medical history, marketing consent. The client consent form outlines risks and responsibilities, requiring signature. Records include signature, photo, notes on lifestyle and medical details.

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    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    This document contains forms for collecting client information for eyelash extension services. The client intake form collects contact details, preferred lash style, medical history, marketing consent. The client consent form outlines risks and responsibilities, requiring signature. Records include signature, photo, notes on lifestyle and medical details.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    6 views4 pages

    Client Record Book

    Uploaded by

    drakeklyde
    This document contains forms for collecting client information for eyelash extension services. The client intake form collects contact details, preferred lash style, medical history, marketing consent. The client consent form outlines risks and responsibilities, requiring signature. Records include signature, photo, notes on lifestyle and medical details.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 4

    CLIENT

    RECORD
    BOOK
    LYNA LASHES

    NAME:
    CLIENT INTAKE FORM
    NAME: PHONE:

    EMAIL: DOB: INSTAGRAM:

    PREFFERED EYELASH SET: CURL: LENGTH:

    OCCUPATION:

    MEDICATION:

    ALLERGIES:

    ANY RECENT EYE IRRITATION?:

    WHEN IS YOUR SHEDDING SEASON?

    HOW DID YOU HEAR ABOUT ME?: INSTRAGRAM WEBSITE FACEBOOK

    FRIEND / REFERRAL:

    HAVE YOU HAD LASHES DONE BEFORE?: YES / NO

    DO YOU WEAR CONTACTS?: YES / NO

    DO YOU HAVE DRY EYES?: YES / NO

    DO YOU HAVE WATERY EYES?: YES / NO

    ARE YOU CURRENTLY USING LASH SERUM?: YES / NO

    CAN I USE YOUR PHOTOS FOR MARKETING PURPOSES?: YES / NO


    PLEASE WRITE YOUR NAME:

    I AGREE TO HAVE EYELASH EXTENSIONS APPLIED

    TO MY NATURAL EYELASHES, REMOVED, OR RETOUCHED BY THE


    CLIENT CONSENT FORM

    CERTIFIED EYELASH EXTENSION TECHNICIAN.

    I UNDERSTAND THAT THIS PROCEDURE ENTAILS WITH


    SYNTHETIC EYELASHES BEING APPLIED.

    I UNDERSTAND THAT I HAVE TO KEEP MY EYES CLOSED


    THROUGHOUT THE ENTIRE PROCEDURE (UP TO 3 HOURS).

    I UNDERSTAND THAT THERE ARE POSSIBILITIES FOR


    REDNESS, IRRITATION, SWELLING, ITCHINESS, AND OTHER
    RISKS THAT CAN ARISE DURING AND AFTER PROCEDURE.

    I UNDERSTAND THE POST CARE TREATMENT FOR MY EYELASH


    EXTENSIONS.

    I UNDERSTAND THAT I NEED TO PAY ADDITIONAL FEE FOR


    LASH BATH/CLEANSE IF MY EYES ARE NOT CLEAN.

    I UNDERSTAND THAT THIS PROCEDURE IS SEMI-PERMANENT


    AND THE NATURAL LASHES WILL CONTINUE TO GROW.
    REGULAR FILL APPOINTMENTS MUST BE BOOKED TO
    MAINTAIN A FULLER SET.

    I UNDERSTAND THIS SERVICE IS NON-REFUNDABLE.

    I HAVE READ AND UNDERSTOOD THIS WAVIER FORM.

    I HAVE COMPLETED THIS FORM TO THE BEST OF MY


    KNOWLEDGE.

    I UNDERSTAND THAT BY SIGNING THIS WAVIER, I RELEASE


    MY EYELASH TECHNICIAN FROM ANY CLAIMS.

    SIGNATURE: DATE:
    CLIENT RECORD
    NAME: PHONE:

    LIFESTYLE: DOB: REFFERED BY:

    NOTES:

    MEDICAL INFO
    ALLERGIES:

    MEDICATION:

    GLASSES: NOTES:

    INSERT PHOTO HERE:

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