About this template
The Eyelash Extension Waiver is a critical document for any beauty professional or salon owner. It serves as both a health screening tool and a legal acknowledgment, ensuring that clients are fully informed about the risks associated with lash application and that they have disclosed any relevant medical conditions, such as eye sensitivities or allergies to adhesives. By using this template, you protect your business while providing a professional, transparent experience for your clients.
This Google Form template is designed to be completed by clients before their appointment. It captures essential contact information, medical history, and explicit consent to the service terms. By streamlining this process, you eliminate the need for paper forms in your lobby and ensure that you have all necessary health data stored securely in your Google Drive before the service begins. It is an essential step in maintaining high standards of client care and professional liability management.
Key features
- Comprehensive health and allergy screening questions.
- Clear legal language for service acknowledgment.
- Mobile-friendly design for easy in-salon completion.
- Automatic data organization in Google Sheets.
- Customizable to include your specific salon policies.
Use cases
- New client onboarding for lash technicians.
- Pre-appointment health and safety screening.
- Documenting informed consent for liability protection.
- Updating client records for recurring appointments.
What this form collects
- Full Name (Short answer)Please enter your legal first and last name.
- Date of Birth (Date)Required for our records.
- Do you currently wear contact lenses? (Multiple choice)If yes, please be prepared to remove them before the service.
- Do you have any current eye illnesses, injuries, or infections? (Paragraph)Examples: Pink eye, styes, or recent eye surgery.
- Are you allergic to any adhesives, latex, or cosmetic materials? (Paragraph)Please list all known allergies.
- Acknowledgment of Terms (Multiple choice)I understand the risks of eyelash extensions and agree to follow all aftercare instructions provided by the technician.
- Digital Signature (Short answer)Please type your full name to serve as your electronic signature.
- Signature Date (Date)Today's date.
FAQ
Why is a waiver necessary for eyelash extensions?
Eyelash extensions involve chemicals and tools near the eye. A waiver ensures the client understands the risks, discloses allergies, and agrees to aftercare instructions, protecting both the client and the technician.
Can I add my own salon policies to this form?
Yes. Once you copy this template to your Google Drive, you can edit, add, or remove any questions or sections to better reflect your specific salon policies.
How do I ensure clients sign the form?
You can use the built-in text field for a digital signature or require the client to type their full name as a formal acknowledgment of the terms.
Is this form mobile-friendly?
Yes, Google Forms are fully responsive and work perfectly on smartphones and tablets, making it easy for clients to complete the form in your waiting area.
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.