LASH LIFT INDEMNITY FORM

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1Information
2Agreement

Please read and complete this form carefully.

Questionnaire: By signing this authorization form, you declare that the answers given herein are true and complete to the best of your knowledge. False or misleading answers can lead to complications and/or undesirable results.

Please indicate your answer by selecting per question and provide detail where appropriate.

Previous discomfort, stinging or adverse reactions: Please tick any that apply
Have you had Lash or Brow Tinting, Bow Lamination, Lash Lifting, Lash perming, Eyelash extension or semi-permanent mascara applied previously?
Pach Test