Free Lash Lift Consent Form (Printable PDF)

Lash lifts use a perming lotion and often a tint, so the screening is different from lash extensions. This free consent form checks the things that matter for a lift: sensitivity to chemicals, recent treatments, eye health and the 24-hour aftercare rules. Personalise it, download the PDF and print.

Your Business Name

Lash Lift Consent Form

Please print clearly and tick all that apply.

Client details
Full name
Date of birth
Mobile number
Email address
Treatment
Service today
Lash liftLash lift + tintTint only
Date of last lash lift or perm (if any)
Have you had a reaction to a lash or brow treatment before? If yes, please describe
I have had (or choose to skip) a patch test for the lifting lotion and tint
Health check - tick any that apply
Currently using a lash growth serum (for example bimatoprost) or prescription eye drops
Eye infection, conjunctivitis, styes or irritation
Eye surgery or laser treatment in the last 6 months
Dry eye, blepharitis or very sensitive eyes
Allergy to hair dye, perm solutions, thioglycolic acid or adhesive
Lash extensions fitted in the last 4 weeks
Lashes are brittle, damaged or have been over-processed
Pregnant, breastfeeding or recently had hormonal changes
Medication or health conditions we should know about
Consent and aftercare
I understand the treatment uses chemicals near the eyes, that my eyes must stay closed, and that I must say at once if I feel stinging or discomfort
I understand results vary with lash length, condition and growth cycle, and that a lift typically lasts 6 to 8 weeks
I have been told to keep lashes dry and avoid steam, makeup, mascara and rubbing for 24 hours
Photo permission
I give permission for before and after photos to be used on social media and in marketing
Booking policy
I have read and agree to the cancellation policy (24 hours notice required)
Signature
Client signature
Date

Created free with LuxeDesk · luxedeskapp.com

Skip the paper — clients sign this form on their phone with LuxeDesk. The signed PDF is saved to their client profile automatically.

Get LuxeDesk on Etsy

What is a lash lift consent form?

A lash lift consent form records that your client understands what is going on her lashes and agrees to it. Unlike extensions, a lift is a chemical service: a lifting lotion softens the natural lash, a setting lotion holds the new curl, and a tint is often added on top. Each of those steps can irritate sensitive eyes or skin, so the form is your proof that you screened for it.

It also sets expectations. The most upset lash lift clients are rarely the ones with a reaction; they are the ones who expected a dramatic curl on very short lashes and did not hear otherwise.

What to include

Everything a general beauty form asks, plus questions that fit the chemistry of a lift.

  • The exact service: lift, lift and tint, or tint only, since each carries a different patch test.
  • Date of the last lift or perm, because over-processing is the main cause of brittle lashes.
  • Growth serums and prescription eye drops, which can change how lashes respond.
  • Recent eye surgery, infections, dry eye and blepharitis.
  • Allergies to dye, perm solution or adhesive.
  • Recent extensions, since leftover glue interferes with the lotion.
  • Pregnancy or hormonal change, which can make curls fall flat.
  • Aftercare acknowledgement, a realistic results statement, photo permission, cancellation policy, signature and date.

The results line is the one most forms forget, and it saves the most arguments.

When to use it

Have every new client sign before the patch test or the first service. If she books online, send the form for her to review in advance, but get her signature in person so she cannot say she skimmed it on her phone on the bus.

Ask for a fresh form if there has been a gap of more than a year, if she has started a growth serum, if she has had eye surgery, or if you are adding a tint to a client who has only had a lift. A tint is a new product on her skin and lashes, so a new line in the record is justified.

Tips from lash lift technicians

Check her natural lash length before you promise anything. Under about 5 mm, a lift may not hold a curl, and it is kinder to say so than to deliver a flat result.

Remove every trace of makeup and oil first. Lashes that look clean can still be coated with sunscreen or mascara residue, and the lotion will not take evenly.

Time the lotion to the lash, not the clock. Fine, fair lashes process quickly. Coarse, dark lashes may need longer. Over-processing is the single biggest cause of frizzy, brittle lashes, and the form should tell her that processing time is your judgment.

Give her the 24-hour rules on a printed card as well as the form. Steam, saunas, swimming and heavy rubbing in that first day are what ruin a good lift.

Record the timings and products on her card. When you know a client's lashes took nine minutes on the lifting lotion last time, your next appointment is more predictable, and if the result is off you can change one thing instead of guessing. Over a year, those notes turn a good technician into a consistent one.

Common mistakes to avoid

  • Treating a lift like extensions. The risks, the aftercare and the questions are different.
  • Skipping the growth serum question. Prostaglandin-based serums are common and can interfere with results.
  • Leaving out a tint patch test. A dye reaction near the eye is a bad day for everyone.
  • Promising results you cannot deliver. Write down what is realistic.
  • Using a lift form for brows. Brow lamination has its own skin-related risks and deserves its own form.

Frequently asked questions

Do I need a consent form for a lash lift?

Most insurers and training providers expect one, and it is the best evidence you screened for allergies and eye health. Laws vary by region, so check your licensing board and insurer.

Should I do a patch test before a lash lift?

It is good practice, especially for first-time clients and for tint. A patch test on the inner arm or behind the ear 24 to 48 hours before the appointment can reveal an allergy before it reaches the eye area.

Who should not have a lash lift?

Anyone with a current eye infection, irritation, recent eye surgery, or a known allergy to the lotions or dye should wait. Clients with very short, damaged or recently extended lashes are also poor candidates until their lashes recover.

How long does a lash lift last?

Usually around 6 to 8 weeks, following the natural growth cycle of the lash. Your form should say this so clients rebook at the right time.

How long should I keep lash lift consent forms?

Keep them for at least as long as your insurer requires, which is commonly several years after the last visit. For a client who was a minor, keep them well beyond her 18th birthday.

Can I use this form for lash tinting alone?

Yes. Tick "Tint only" for the service and use the same health, allergy and aftercare sections.

This template is for general information only and is not legal advice. Check the requirements in your state or country.