BROW BEAUTY

Consent Form for Brow Bar & Lash Services

Name

Last Name

Phone Number

Birth Date

Month

Day

Year

Adress

Emergency Contact

(name and phone number)

What is your Instagram

What is your TikTok

Specify here:

I declare that I have read the FAQ’s, as per pre-booking instructions to prepare for my appointment, and have read “Am I a good candidate?” and “pre- and post- procedure instructions”.

Yes

I declare that I have read the FAQ’s, as per pre-booking instructions to prepare for my appointment, and have read “Am I a good candidate?” and “pre- and post- procedure instructions” and will strictly adhere to such instructions. I understand that my failure to do so may jeopardize my chances for a successful procedure. Please refer to FAQ’s on the website. https://www.hausofdebi.com/faq-and-cancelation-policy

Medical Questionnaire

I understand that it is important to answer each of the following questions honestly and not withhold medical information, as failure to do so may be detrimental to my health and safety during the treatment. There are a number of risks from withholding information which include, an increased risk of infection, bleeding, compromising the end results and risking further complications, poor healing or scarring. I understand it is my responsibility to update any changes in my medical history to the Artist before every appointment.

Are you taking Acutane?

Yes

If you answered yes, you may NOT wax.

One of the advantages of these treatments is that they require little maintenance, although they do require general aftercare. Indications to follow during the 24-48 hours after treatment:

DEPILATION: Warm water should be used instead of hot water on the waxed area and sauna should be avoided.

REST OF TREATMENTS:

Eyebrows and Eyelashes: Tinting, Henna, Eyebrow Laminating, Eyelash Perming:

Keep the eyebrow area dry. Do not wet your eyebrows for 24 hours.
Avoid touching, rubbing or scratching that area for a few hours to avoid transferring any oils you may have on your skin.
Avoid non-specific cosmetics: make-up, exfoliators, self-tanning products, creams for 24 hours.
Do not exercise for 24 hours and, if possible, avoid sweating.
Avoid any facial product with an oily base: creams, cleansing gels... They will make the dye leave sooner.
Avoid U.V.A. ray booths.
Carefully comb hairs every day and apply a moisturizing lotion or balm recommended by a certified Debi Brows professional.
Avoid facial treatments.

I declare that I have read, understood and agree to the indications specified in the previous paragraph.

Yes

NOTIFICATION OF INFORMATION BEFORE PROCESSING Check only those boxes that apply. If you do not check any box, please indicate the reason in the "Comments" field.

I am of legal age (18 years old)

I am not pregnant or lactating

I have never had any allergic reaction to hair dye.

I have undergone these beauty treatments in the past such as waxing (eyebrows), eyebrow tinting, henna,(eyebrow) eyebrow lamination, eyelash perm.

I have never had an allergic reaction to the treatment I am having today (waxing, eyebrow tinting, Henna, eyebrow lamination, eyelash perming).

Comments:

(Optional)

I am informed that to perform the treatment I will have to remain in a horizontal position and keep my eyes closed for the duration of the treatment (between 30-180 minutes).

Yes

CONTRAINDICATIONS:

Although at Debi Brows we take every precaution to ensure your safety and well-being before, during and after any eyebrow or eyelash treatment, it is important that you are aware of the possible complications that may arise. Important: Checking the "yes" box implies that you have read, understood and agree to the statement.

The area exposed to the product may experience some irritation, stinging or burning as well as watery eyes and swelling of the treated area. If the product accidentally comes into contact with my eyes, I will immediately rinse the area with water.

Yes

I am informed that, should any complications arise, I should consult my physician.

I understand that while the Debi Brows technician follows proper procedures, individual hair and skin may absorb the product differently, so results can vary.

Yes

In rare cases, the eyelash perm may cause excessive or insufficient curl, or damage. I acknowledge that Debi Brows cannot guarantee how long the curl will last.

I understand that as the hair grows, it may be necessary to re-do the tinting, laminating or perming service. Maintenance of the service is essential to keep my eyebrows/eyelashes looking the way I want them to look.

Yes

At Debi Brows, client health is our top priority. We recommend an allergy test 48 hours before treatments involving skin application, as advised by product manufacturers. For clients with no previous reactions, we offer an allergy test waiver.

Yes

The test is valid for 6 months or until your last treatment.

There is a risk of an allergic reaction to the pigment. An allergy test is recommended, but it does not guarantee that no reaction will occur.

I have already taken the allergy test

I waive the allergy test

I am a Debi Brows customer and waive the allergy test

I am a Debi Brows customer and have retested or have been in the studio within the last 6 months.

By waiving the test, I release the technician from liability for any allergic reaction. Note: Reactions can still occur even after the test.

Date of patch test or date of last treatment:

As a Debi Brows client, once an allergy test has been performed, it is valid for as long as you continue to use our services at our brow studio or up to 6 months after your last treatment with us.

Yes

It is your responsibility to ensure that you schedule your allergy test as needed and will not hold Debi Brows responsible for your negligence.

I understand that the before and after photographs are part of the visagism study. I hereby waive any claims, actions or demands arising from the use of such photographs on the website and/or social media owned by HAUSOFDEBI.COM.

Yes

Data protection: we inform you that the data contained in this document are included in the information systems of Debi Brows.

Yes

You can exercise your rights of access, rectification, opposition, limitation, portability or cancellation, to the address hola@debibrows.com. You can access more information through the link https://www.debibrows.com/private-policy.

The Haus of Debi technician has answered all my questions in a satisfactory manner. I accept and understand the possible risks and complications that may arise from the treatment. I authorize the Haus of Debi technician to perform the treatment we have agreed upon and I assume, as my own risks, any contraindications that may result from this procedure.

Date:

Firma

Signature field is empty.

I certify that this Disclosure, Release Agreement, Client Acknowledgment & Responsibility to Inform was completed by me and that all entries in it and information are true and complete to the best of my knowledge. I ACCEPT FULL RESPONSIBILITY FOR THE DECISION TO HAVE THIS BROW BEAUTY WORK DONE.

If client is a minor, under 18 years of age, legal guardian must put FULL NAME, IDENTIFICATION DETAILS in this space and SIGN BELOW:

Legal Guardian Signature:

Signature field is empty.

For technician use only below:

Color, needle , lot number: