bevdkbdf.formester.com/f/l3m2D2Ypf

Lash Lift Consent and Intake Form

A lash lift consent form covering allergy and contraindication screening, patch-test confirmation, aftercare acknowledgement, and signed consent. Exported as a signed PDF.

Releases & Waivers

About this template

This lash lift consent form template runs on Formester's drag-and-drop form builder, sized for lash studios and beauty pros offering lash lifts, tints, and extensions. Capture the client's allergy history, contraindications, patch-test confirmation, and signed consent in one flow.

Replace the paper intake with a tablet at the lash station. Clients fill the form pre-service, sign with e-signature, and the PDF lands in the client file. Encrypted in transit and at rest.

Use conditional logic to surface a patch-test reminder when the client is new, reveal the dye-allergy block when a tint is bundled, or scope to a fuller consent flow when the client adds extensions.

Auto-send the consent back to the client via Autoresponder Email, push every submission to your booking platform via webhooks, and maintain one client history across visits.

How to customize this lash lift consent form

Six steps to a lash-studio-ready consent flow.

Brand the header

Replace the placeholder organization name, logo, address, and contact details with your brand. Set primary colors so the form matches the page it lives on.

Configure service-specific screening

Add the lash services you offer (lift, tint, extensions, removal). Each surfaces its contraindication block: thyroid history for lift, dye allergies for tint, adhesive sensitivity for extensions.

Add patch-test confirmation

Capture whether the client has had a patch test in the last 48 hours, and the result. New clients see a reminder to complete one before the appointment.

Update aftercare language

Swap the aftercare guidelines for your studio's specifics (no water for 24 hours, mascara restrictions, refill cadence). Add the acknowledgement checkbox.

Wire delivery

Push every submission to your CRM or e-vault through a webhook, or use Zapier for fan-out to email, Slack, and notifications. Turn on Autoresponder Email if the signer should receive a copy.

Publish and share

Embed the form on your site, share the direct link by email, or generate a QR code for in-person signing. Every submission lands in the dashboard with a clean PDF for the file.

When to use this lash lift consent form

Six lash-studio scenarios this template handles.

New-client lash lift

First appointment. Full screening: thyroid, recent eye procedures, allergies. Patch-test reminder surfaces.

Lash tint add-on

Service multi-select adds tint. Dye-allergy block surfaces alongside the lift consent.

Lash extension consultation

Adhesive sensitivity screening surfaces. Captures preferred curl, length, and density alongside the consent.

Returning client

Shorter intake. Captures any changes since the last visit, current patch-test status, and consent for today's service.

Pop-up wedding-party day

Studio handles a bridal party. QR-code launches the form per client; consent collected before any service starts.

Under-18 client

Parental-consent block surfaces. Both the minor's assent and the parent's signature are captured.

Fields included in this template

Standard lash-studio intake. Drop the ones your studio does not collect.

  • Client name Short text

    Full legal name for the client file.

  • Date of birth Date picker

    Drives the minor-consent block when under 18.

  • Contact details Email + Phone

    Confirmation and aftercare follow-up.

  • Service today Multi-select

    Lash lift, tint, extensions, removal. Drives the service-specific contraindication blocks.

  • Thyroid or hormonal conditions Yes/No + notes

    Affects lash growth and lift retention. Captures the relevant history.

  • Recent eye procedures Yes/No + date

    LASIK, cataract surgery, recent infections.

  • Known allergies Multi-select

    PPD, latex, ammonia, common adhesives. Drives the patch-test recommendation.

  • Patch test status Radio + date

    Completed in last 48 hours, scheduled, not required.

  • Contact lens use Yes/No

    Drives the reminder to remove contacts before the service.

  • Aftercare acknowledgement Checkbox

    Client confirms they have read the aftercare guidelines (water restrictions, mascara, refill cadence).

  • Photo / social media release Checkbox, optional

    Toggle for using before/after photos on studio social media.

  • Client signature E-signature

    Captures the consent in legally-defensible form.

Questions we get a lot

Operator and signer questions about security, integrations, jurisdiction, and configuration.

Is the submission data secure?
Yes. Every submission is encrypted in transit and at rest. Add a custom subdomain on paid plans so the form lives on your own URL through the entire flow.
Can I capture a signature on the consent form?
Yes. The template includes an e-signature field, and the signed PDF is generated automatically on submission. Both parties can countersign if your workflow needs it.
Can I auto-send a copy to the signer?
Yes. Turn on Autoresponder Email to send the completed PDF to the signer the moment they submit. No manual follow-up required.
Can I route every submission to my system of record?
Yes. Push each submission via a webhook for real-time delivery, or use Zapier to fan out to your CRM, e-vault, and ops stack. Google Sheets sync works if you just need a log.
Can I bundle lash lift + tint + extensions in one form?
Yes. Use a services multi-select; conditional logic surfaces the specific contraindication block for whatever services the client chose (tint dye allergy, extension adhesive sensitivity, etc.).
How do I track patch tests across visits?
Capture patch-test date and result in the form. Push to your CRM or client-management tool via webhook so the next visit's intake picks up the prior patch-test history automatically.