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Lash Extentions
Lash Lift & Tint
Brow Laminating & Shaping
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On day of booking
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YUMI LASH LIft & Tint
$110
For lash Extensions
click here.
Lashes Online Form
To undergo eyelash procedures, you are first required to successfully complete this online form.
Please read all information carefully to ensure all answers will be accurate.
After you submit your online form, a consultant will review & contact you shortly.
YOU ONLY NEED TO COMPLETE THIS FORM ONCE
By submitting this form you agree and legally affirm all information is correct and agree to Lartista's terms and conditions.
Click
here
for all terms & conditions.
*
Indicates required field
Name
*
First
Last
Email
*
Phone Number
*
1. What products do you currently or have recently used on your eyelashes? (Select all that apply)
*
Mascara
Curler
Lash Serum
Lash Lift/Tint
None
2. Have you previously had lash extensions?
*
No
Yes
If yes, did you have any reactions or discomfort during / after the procedure? Please explain
*
3. What look are you going for?
*
Thicker
Longer
Natural
Dramatic
4. Have you had any recent eye infections?
*
No
Yes
5. In the last 72 hours, have you had any eye irritation or discomfort?
*
No
Yes
6. List any medications, antibiotics including supplements that you are currently using. If none, write N/A.
*
7. Are you on any thyroid or hormonal medications?
*
No
Yes
8. Do you wear contact lenses? If so. You will be required to remove them for health & safety.
*
No
Yes
9. Select what sleeping positions best apply to you?
*
Back Sleeper
Tummy Sleeper
Right Side
Left Side
10. Have you had any recent eye surgery or laser eye surgery?
*
No
Yes
11. Do you have any known vitamin deficiencies?
*
No
Yes
12. Do you use any eye drops of any kind?
*
No
Yes
13. Do you have any sensitivities or allergies?
*
No
Yes
If yes, Please Specify.
*
14. Do you have or have you had in the past 2 weeks any of the following (Select those that apply).
*
Viral infections such as herpes
Eczema
Overactive or underachieve thyroid gland
Alopecia Areata
Madarosis / Milphosis
Recently undergone Chemotherapy
Styes
Blepharitis
None
Consent, Terms & Conditions
To proceed to make an appointment with us, you must agree to our terms & conditions and to the following:
Care & Maintenance:
Lash Lift and Hybrid Tint After Care
- Avoid water on the lashes for 24 hours
- Avoid shampoo, makeup, conditioners, makeup remover/cleanser, creams, serums for 24 hours
- DO NOT touch, rub or play with lashes.
I have read, understood and agree that I have provided correct & truthful information. I acknowledge that & understand that there are potential risks of harmful or negative side effects associated with having the procedure.
I have read and understand the post-treatment home care instructions & will follow recommendations made by Lartista. In the event that my circumstances have changed, additional information, questions or concerns regarding my treatment or suggested home product / post-treatment care will be disclosed with Lartista immediately. I agree that this constitutes full disclosure, and that it supersedes any previous verbal or written disclosures. I affirm that I have had sufficient opportunity to provide information and discussion to have any questions answered. I understand the procedure and accept the risks. I do not hold Lartista responsible for any of my conditions that were present or otherwise, and take responsibility for conditions not disclosed that may be affected by the treatment.
I understand there are risks associated with having this procedure. I understand that there has a NO REFUND policy on all services, procedures, appointments and products. I agree I will not receive a refund.
I understand photos and/or recordings of specialist's notes &/or promotional content may be taken before, during or after my appointment. I agree to notify my specialist should I not consent to be used in promotional content.
I understand and agree that by submitting this online form I am entering into a legal & binding agreement and hereby release any and all persons representing L'artista from all claims, demands, damages, actions and cause of action arising out of the performance of the service. I have fully disclosed all conditions regarding my health history, medications and past reactions to products, treatments and medications. I agree to follow L'artista's terms & conditions and policies found here.
This agreement will remain in effect for all procedures, appointments and all future follow-ups.
I affirm I am fully capable to execute this agreement and consent to undergo eyelash extension procedures. By submitting this form you agree and legally affirm all information is correct and further agree to follow all Lartista's terms and conditions. Click
here
for all terms & conditions.
I AGREE: SUBMIT
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Eyelash Lift & Tint
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Non-Refundable Deposit.
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Home
About
Bookings & Prices
Lash Extentions
Lash Lift & Tint
Brow Laminating & Shaping
Deposit
On day of booking
Gallery
Contact us
Terms & Conditions