Consent Forms - bareskinstudiolv.com

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Client Information – Full name *

First

Last

Client Information – Phone number *

Client Information – Email *

Client Information – Date of birth *

Client Information – Emergency contact name *

Client Information – Emergency contact phone number *

Health History – Check all that apply

Pregnancy or trying to conceive
Skin conditions (acne, eczema, psoriasis, rosacea, etc.)
Recent sunburn or tanning
Use of Accutane in last 6–12 months
Use of retinol, tretinoin, or active skincare
Recent chemical peels, laser, or cosmetic procedures
Medications affecting skin
Any medical conditions we should know about

Health History – Allergies (list)

Health History – Medications affecting skin (short answer)

Health History – Any medical conditions we should know about (short answer)

Skin Concerns & Goals – What are your main skin concerns? *

Skin Concerns & Goals – What results are you hoping for from today’s treatment? *

Skin Concerns & Goals – Current skincare routine (short answer)

– are Aftercare

Consent & Liability Waiver

I understand that facial treatments involve the use of professional products and techniques that may cause temporary redness, irritation, or sensitivity. I have disclosed all known medical and skin conditions. I release Bare Skin Studio and its esthetician from liability and consent to receive facial treatments.

Consent & Liability Waiver – Acknowledgment *

I have read and agree to the Consent & Liability Waiver above.

Aftercare Acknowledgment *

I agree to follow aftercare instructions and understand results vary per person.

Photo & Marketing Consent (optional)

I consent to before/after photos for internal use
I consent to photos for social media/marketing

Signature – Date *

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Client Information – Full name *

First

Last

Client Information – Phone number *

Client Information – Email *

Client Information – Date of birth *

Client Information – Emergency contact name *

First

Last

Client Information – Emergency contact phone number *

Health & Skin History – Check all that apply

Pregnancy
Diabetes
Varicose veins
Sensitive skin
Skin conditions (eczema, psoriasis, dermatitis, etc.)
Use of Accutane in past 6-12 months
Use of retinol, tretinoin, benzoyl peroxide, or exfoliants
Recent chemical peels, laser treatments, or microneedling
Sunburn or recent tanning
Medications affecting skin

Health & Skin History – Allergies to wax, latex, or skincare products (list)

Information Consent Skin

Health & Skin History – Medications affecting skin (list)

Health & Skin History – Any other medical conditions we should know about

Waxing History – Is this your first time waxing? *

Waxing History – Last time you shaved or waxed

Waxing History – Any past reactions to waxing (short answer)

Treatment Area Selection – Select areas being waxed *

Brows
Lip
Chin
Face
Underarms
Arms
Legs
Bikini
Brazilian
Chest
Back
Other (fill in)

Treatment Area Selection – Other (fill in)

Consent & Liability Waiver *

I understand waxing services may cause redness, swelling, skin sensitivity, or lifting of the skin. I confirm I have disclosed all medications, skin conditions, and health information that may affect my service. I release Bare Skin Studio and its esthetician from liability and consent to receive professional waxing services.

Aftercare Acknowledgment *

I understand I must follow proper aftercare instructions including avoiding heat, sweating, sun exposure, and friction after waxing. Results and skin reactions vary per person.

Photo Consent (optional checkboxes)

I consent to before/after photos for internal use
I consent to photos for social media/marketing

Signature – Date *

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1. Client Information

Full name *

First

Last

Phone number *

Email *

Date of birth *

Emergency contact name *

First

Last

Emergency contact phone number *

2. Health & Skin History

Check all that apply (current or past)

Sensitive skin
Sensitive eyes
Allergies to hair dye / tint / peroxide / cosmetics
Skin conditions (eczema, psoriasis, dermatitis, rosacea)
Recent chemical peels or exfoliating treatments
Recent brow services
Use of retinol / tretinoin / Accutane
Pregnancy or breastfeeding
Any medical conditions or medications affecting skin
Any cuts, abrasions, or irritation in brow area

If you selected allergies, list allergies to hair dye / tint / peroxide / cosmetics

If you selected skin conditions, list details (eczema, psoriasis, dermatitis, rosacea)

If you selected recent chemical peels or exfoliating treatments, describe

If you selected recent brow services, describe

If you selected use of retinol / tretinoin / Accutane, list product and usage

If you selected pregnancy or breastfeeding, add any notes

If you selected any medical conditions or medications affecting skin, list details

If you selected any cuts, abrasions, or irritation in brow area, describe

3. Brow History

Have you had brow lamination before? *

Have you ever had a reaction to brow tint or lamination? *

If yes, describe the reaction to brow tint or lamination

Last time you had brows waxed, tweezed, or tinted

Are you currently using any brow growth serums? *

If yes, what brow growth serums are you using?

4. Desired Brow Results

What look are you going for? *

Natural
Fluffy
Bold
Defined

Any inspiration or notes for your brow artist

5. Patch Test Acknowledgment

Patch Test Acknowledgment *

I understand brow tint and lamination involve chemical solutions and there is a risk of allergic reaction or skin sensitivity. I confirm I have disclosed all known allergies and skin conditions.

6. Consent & Liability Waiver

Emergency selected Liability

Consent & Liability Waiver *

I understand that brow lamination and tint services involve the use of professional chemical solutions and dyes near the eye area. Possible side effects include redness irritation dryness or allergic reaction. I release Bare Skin Studio and its esthetician from liability and consent to receiving brow lamination and tint services.

7. Aftercare Agreement

Aftercare Agreement *

I agree to follow aftercare instructions including keeping brows dry for 24 hours avoiding heatsteam and using recommended products. I understand results vary per person and tint fades over time.

8. Photo Consent (optional)

Photo Consent

I consent to before/after photos for internal use
I consent to photos/videos for social media and marketing

9. Signature

Date *

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Bare Skin Studio — Lash Lift & Tint Consent Form

Client Information — Full Name *

First

Last

Client Information — Phone Number *

Client Information — Email *

Client Information — Date of Birth *

Client Information — Emergency Contact Name *

Client Information — Emergency Contact Phone Number *

Health & Eye History — Check all that apply (currently have or have had)

Sensitive eyes
Dry eyes or watery eyes
Contact lens use
Eye infections (pink eye, styes, etc.)
Eye surgery (LASIK, cataracts, etc.)
Skin sensitivities or allergies
Recent chemical peels or facial treatments
Use of retinol, Accutane, or strong exfoliants
Any medical conditions or medications affecting eyes/skin

Health & Eye History — Allergies to adhesives, tint, or cosmetics (list)

Lash History — Have you had a lash lift before? *

Lash History — Have you ever had a reaction to lash lift or tint? *

Lash History — Last time you had a lash lift or lash extensions

Lash History — Are you currently wearing lash extensions? *

Desired Results — Desired look *

Natural lift
Dramatic lift

Desired Results — Tint preference *

Natural
Dark
Blackest

Desired Results — Any inspiration or notes for your lash artist (short answer)

Patch Test & Sensitivity Acknowledgment *

I understand lash lift and tint services involve chemical solutions and dyes near the eye area and there is a risk of irritation or allergic reaction. I confirm I have disclosed all known allergies and sensitivities.

Information time Desired

Consent & Liability Waiver *

I understand lash lift and tint services involve professional chemical solutions used near the eyes. Possible side effects include irritation redness dryness or allergic reaction. I release Bare Skin Studio and its esthetician from liability and consent to receiving lash lift and tint services.

Aftercare Agreement *

I agree to follow proper aftercare including keeping lashes dry for 24 hours avoiding steam/heat and using recommended products. I understand results and retention vary per person.

Photo & Marketing Consent (optional)

I consent to before/after photos for internal records
I consent to photos/videos for social media and marketing

Date *

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1. Client Information

Full name *

First

Last

Phone number *

Email *

Date of birth *

Emergency contact name *

Emergency contact phone number *

answer) Last answer)

2. Health & Eye History (checkboxes + short answers)

Check any that apply (currently has or has had)

Sensitive eyes
Contact lens use
Eye infections (pink eye, styes, etc.)
Eye surgery (LASIK, cataracts, etc.)
Watery eyes or dry eye syndrome
Skin sensitivities
Claustrophobia or trouble lying flat

Allergies to latex, adhesives, or cosmetics (please list)

Any medical conditions or medications we should know about (short answer)

3. Lash History

Is this your first time getting lash extensions? *

Have you had an allergic reaction to lash glue before? *

Last time you had lash extensions or a lash lift

Are you currently wearing lash extensions? *

4. Style Preference (optional but helpful)

Desired look

Natural
Hybrid
Volume
Mega Volume

Length preference

Short
Medium
Long

Any inspiration or notes for your lash artist (short answer)

5. Consent & Liability Waiver

I understand that eyelash extensions involve the use of professional adhesives and products around the eye area. Possible side effects include irritation, redness, swelling, or allergic reaction. I confirm I have disclosed all medical and eye conditions. I release Bare Skin Studio and its esthetician from liability and consent to receiving eyelash extension services.

Consent acknowledgment *

I have read and understand the Consent & Liability Waiver and I consent to receiving eyelash extension services from Bare Skin Studio.

6. Aftercare Agreement

Aftercare acknowledgment *

I agree to follow proper aftercare including keeping lashes clean, avoiding oil-based products, not pulling extensions, and scheduling fills as recommended. I understand results and retention vary per person.

7. Photo & Marketing Consent (optional)

Photo & Marketing Consent

I consent to before/after photos for internal records.
I consent to photos/videos for social media and marketing.

8. Signature

Date *

Facial Consent Form+

Waxing Consent Form+

Brow Lamination & Tint+

1. Client Information

2. Health & Skin History

3. Brow History

4. Desired Brow Results

5. Patch Test Acknowledgment

6. Consent & Liability Waiver

7. Aftercare Agreement

8. Photo Consent (optional)

9. Signature

Lash Lift & Tint+

Eyelash Extension Consent+

1. Client Information

2. Health & Eye History (checkboxes + short answers)

3. Lash History

4. Style Preference (optional but helpful)

5. Consent & Liability Waiver

6. Aftercare Agreement

7. Photo & Marketing Consent (optional)

8. Signature