Eyelash Extension Consent Form Google Form Template

Consent & Waiver4 minUpdated

A free Google Form template for eyelash technicians to collect client health history, procedure consent, and liability waivers before appointments.

Live form

Embedded Google Form. Scroll inside the frame to see all questions.

About this template

An Eyelash Extension Consent Form is an essential tool for any professional lash artist or salon owner. This template ensures that you maintain transparency with your clients while protecting your business by documenting that the client understands the procedure, potential risks, and aftercare requirements. By collecting this information digitally, you can streamline your intake process and ensure all necessary health disclosures are captured before the service begins.

Doc2Form allows you to easily distribute this form to clients via email or a link before their appointment. By gathering health history, prior sensitivity information, and formal consent in advance, you save valuable time in the salon and provide a more professional experience. This template is designed to be clear and concise, ensuring that your clients feel informed and comfortable while you maintain a clean, organized record of every service performed.

Key features

  • Capture essential health history and allergy disclosures.
  • Document client understanding of risks and aftercare.
  • Professionalize your intake process with a digital workflow.
  • Reduce paperwork and administrative time in the salon.
  • Easily accessible on mobile devices for clients to sign.

Use cases

  • New client onboarding for eyelash extension services.
  • Updating health and sensitivity records for returning clients.
  • Documenting patch test results and client preferences.
  • Liability protection for independent lash artists and salons.

What this form collects

  • Client Full Name (Short answer)Please provide your full legal name.
  • Contact Information (Paragraph)Please provide your email and phone number for appointment updates.
  • Have you had eyelash extensions before? (Multiple choice)Select the option that best describes your experience.
  • Health History & Sensitivities (Paragraph)Do you have any known allergies to adhesives, latex, or eye sensitivities? Please list any relevant conditions.
  • Patch Test Preference (Multiple choice)Would you like to schedule a patch test 24-48 hours prior to your full set application?
  • Consent and Liability Waiver (Multiple choice)I understand the risks associated with eyelash extensions, including potential irritation or allergic reaction. I agree to follow all aftercare instructions provided by my technician.
  • Date of Consent (Date)Please select today's date.

FAQ

Why is a consent form necessary for eyelash extensions?

A consent form is vital for documenting that the client has been fully informed about the procedure, potential allergic reactions, and necessary maintenance. It serves as a record of disclosure and agreement.

What health information should I collect?

You should ask about previous eye surgeries, current eye infections, allergies to adhesives, and any history of sensitivity to beauty products.

Can I customize this template?

Yes. Once you use Doc2Form to create your Google Form, you can add your salon's specific policies, branding, or additional questions directly in the Google Forms editor.

How do I ensure the client has signed the form?

You can include a required checkbox field where the client acknowledges they have read and understood the terms, which serves as a digital signature of their agreement.

Get this form in your Google Drive

Save a copy to your Google Drive with one click (uses 1 credit). Or build from a PDF or description in the app.

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