BROW LAMINATION CONSENT FORM

First Name *

Last Name *

Phone *

Email *

Date of birth

Age

Address

City

State

MEDICAL HISTORY

Have you had an brow lamination before?

Yes

Do you have any additional allergies such as to metals, soaps, cosmetics or alcohol?

Do you have any other medical or skin conditions that affect the outcome of your procedure?

Brow Lamination: if you have any medical condition above

I confirm that I have a medical condition, and I have consulted with a healthcare professional/doctor regarding this condition. My healthcare professional/doctor has advised me that brow lamination is safe for me to undergo, given my medical condition.

PLEASE READ AND CHECK THE BOXES WHEN YOU ARE CERTAIN YOU UNDERSTAND THE IMPLICATIONS OF SIGNING

In consideration of receiving brow lamination from Victoria Phuong Le, NVy Brows (together with its employees, apprentices, and agents:

Brow Lamination: check all the boxes below to confirm:

I understand Brow Lamination, Brow correction is a process of reconstructing the brows hairs to keep them in a desired shape, but it is my own responsibility to brush them daily to achieve the desired look daily.

I understand that the brows after Brow Lamination must stay dry for 48 hours.

I understand experiencing some redness of the skin or mild sensitivity is normal but does not typically.

I hereby grant permission for pictures and videos of my procedure to be taken. I understand and agree that these images may be used for record-keeping purposes and/or promotional and advertising materials.

During the treatment, despite all the precautionary measures made by the esthetician, injury is possible. I will not hold Hara Nguyen, Browlab Salon, or its affiliates who performing this service on me responsible for any issues that may arise because of having the Brow Lamination procedure performed on me.

Despite the application of the most advanced and top ingredients, an allergic reaction is possible.

It is my responsibility to advise the esthetician of any concerns I may have before the Brow Lamination procedure. Even though I may have written it down on this form.

The minimum or maximum duration of the Brow Lamination cannot be determined with certainty. The esthetician and Browlab Salon, performing the Brow Lamination will not be held liable for and damages caused to me or my eyebrows by any reason, including allergic reaction, to previous procedures such as previous henna/tint on the brow hair, skin sensitivity, and failure to follow the Brow Lamination after care instructions

AFTERCARE INSTRUCTIONS

The following written instructions were communicated to the client:

1. Keep Brows Dry: For the first 24 hours, avoid getting your brows wet to allow the treatment to set properly.

2. No Sweating: Avoid exercise or steamy environments for the first 24 hours to prevent moisture around the brows.

3. Gentle Touch: Be gentle when touching or cleansing your brows. Avoid rubbing or scrubbing the area.

4. Avoid Makeup: Keep brow makeup to a minimum for the first 24 hours to avoid interfering with the lamination process.

5. Brush Daily: Use a clean spoolie brush to gently groom your brows into place each morning.

6. No Brow Treatments: Avoid other brow treatments like tinting or waxing for at least 48 hours post-lamination.

7. Sleep Carefully: Try to sleep on your back the first night to prevent distorting the brow shape.

8. Moisturize: After 24 hours, apply a small amount of a gentle, oil-free moisturizer to keep brows hydrated.

9. Avoid Harsh Products: Stay away from harsh skincare products and exfoliants around the brow area.

10. Contact for Concerns: If you experience any discomfort or have questions, please contact us immediately.

Artist Name

Date Signed *

Signature *

Clear

By providing my phone number, I agree to receive text messages from the business regarding aftercare instructions, appointment reminders, and promotions.