Client Health History: Lash Extensions: Fill out & sign online

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Click ‘Get Form’ to open the Client Health History: Lash Extensions in the editor.
Begin by filling in your personal information, including your name, address, and contact details. Ensure accuracy for effective communication.
Indicate your preferred method and time of contact by checking the appropriate boxes. This helps us reach you at your convenience.
In the Health History section, list any allergies you have, particularly to cosmetics or adhesives. This is crucial for your safety during the lash extension process.
Answer all health-related questions honestly, including any medications you are taking and previous reactions to similar products. This information is vital for tailoring your treatment.
Review the Informed Consent section carefully. Initial each statement to confirm your understanding of the procedure and its risks.
Finally, sign and date the form at the bottom to complete it. Make sure all sections are filled out before submitting.

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Can you wear lash extensions in healthcare?

Most hospitals dont allow false eyelashes (this includes individual lash extensions) in the operating room for safety reasons and potential contamination. What is this? The concern is that your extensions might have bacteria or particles that would compromise the sterile environment.

What is the history of eyelash extensions?

Avoid excessive moisture, humidity and sweat for the first 48 hours after your appointment. This includes long and steamy showers, saunas, hot tubs and hot yoga. You may shower however, please do not soak your new lashes. Avoid touching your lashes.

What are the diseases associated with eyelash extensions?

There are some safety concerns as eyelash extension treatments have been associated with numerous ocular conditions, including keratoconjunctivitis, allergic blepharitis, conjunctival erosion, subconjunctival hemorrhage, and traction alopecia.

What infections can you get from eyelash extensions?

If unsterilized tools are used during the eyelash extension application process,infections (such as staphylococcus or blepharitis)can occur.

Are there any risks with eyelash extensions?

Reported adverse effects of eyelash extensions include keratoconjunctivitis, allergic blepharitis, dry eyes, burning sensations, lid swelling, pain, redness [2, 4], and ignition of eyelash extensions related to ocular surgery [5].