Screen Lash Clients for Allergies and Collect Waivers
A ready-to-use eyelash extension waiver that screens clients for allergies, confirms patch test status, and records each client's risk acknowledgment.
This eyelash extension liability waiver and allergy risk acknowledgment form gives lash studios a complete, professional way to prepare clients before every appointment. It starts by collecting client and appointment details, including date of birth, contact information, the service requested, and the assigned lash technician. A dedicated health and allergy screening section then asks about previous extension experience, past reactions, known allergies or sensitivities, current health conditions, medications, and patch test status. This helps your lash artist decide whether the service is suitable and what precautions are needed.
The template is built for lash artists, beauty salons, brow and lash bars, spas, and mobile beauty professionals who work with cyanoacrylate-based adhesives. Its risk acknowledgment section clearly explains possible side effects such as irritation, redness, swelling, infection, allergic reaction, and weakening or loss of natural lashes. It also reminds clients that reactions can develop even after previous problem-free sets. Clients confirm each statement individually, and parents or legal guardians can complete the form on behalf of clients under 18.
Using a digital waiver helps protect your business, cuts down on front-desk paperwork, and creates a reliable record of informed client consent. The form also asks permission to take before-and-after photos for your portfolio and social media, so you can handle photo consent in the same step. Customize the questions and release language to match your salon policies and local requirements, then share the form by link so clients can complete it before they arrive.
Questions in this template
Free templateThe exact questions included — customize any of them to fit your needs.
How to use this template
Click "Use This Template Free" to open it in the FormBuilder editor. From there you can add, remove, or reorder fields with drag-and-drop, switch themes for instant restyling, add your logo, configure email notifications, and set your success message. When ready, publish with a unique link and start collecting responses immediately.
- Ready-to-use structure — pre-configured fields out of the box
- Applied "Cloud" theme — fonts, colors, and layout already set
- Mobile-responsive — works on every device without extra configuration
- Fully editable with drag-and-drop — change anything in seconds
- Free to use on any plan, no credit card required
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