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For aftercare information please visit our FAQ and Postcare Instructions pages

Prior to your scheduled appointment please complete and submit the corresponding beauty service consent forms below

 

Eyelash Extension Agreement

  • I understand that this procedure requires single synthetic eyelashes to be glued to my own natural eyelashes. I understand that it is my responsibility to keep my eyes closed and be still during the entire procedure, until my eyelash technician addresses me to open my eyes. I understand that some risks of this procedure may be but are not limited to eye redness, swelling of eyelids and irritation. The fumes from the adhesive may cause my eyes to water if I open my eyes. I agree to disclose any allergies that I may have to latex, surgical tapes, cyanoacrylate, Vaseline, etc. I understand that I am required to follow the eyelash extension care sheet in order to maintain the life of these extensions. I agree that reading and signing this consent form, I release NHUNG NGUYEN (KIM) from any claims or damages of any nature. I agree that I read and fully understand this entire consent form. I am of sound mind and fully capable of executing this waiver for myself. Eyelash extensions are not for everyone. This is a high-maintenance beauty treatment that requires gentle care for the lashes to remain in good condition and be long-lasting. Once the lashes are attached, you must not rub or pull on them. You must not wear any mascara other than that recommended by your technician. You must not use lash curlers. Please read and understand all the information listed below and sign the form prior to having services preformed: Permission to Use Pictures: I hereby grant to NHUNG NGUYEN (KIM) the full right to take, publish and reproduce photographs of me, my face, my eyes and/or eyelashes, both before and after this procedure, for any advertising, education, or other purposes whatsoever, including the right to retouch these photographs as deemed necessary. Prior to your appointment: Wear no mascara, and have clean lashes using a mild-oil free cleanser. Do not use oil based makeup remover prior to the eyelash application. Do not put on any mascara prior to your appointment. Plan to set aside 11⁄2 - 2 hours for your initial appointment. Understanding the Eyelash Extension procedure: Eyelash extensions are individual Synthetic, Mink and/or Silk eyelashes. They are attached one-by-one to each of your individual natural lashes – not to the skin. This service is beauty enhancing and eliminates the need to wear mascara. It is a meticulous service which requires the skill and precision of your certified lash technician. Once the eyelash extensions are applied, they are natural looking. Size availability ranges from short to long which will be decided and agreed upon with your certified eyelash technician. In some cases, eyelash extensions can last up to 4 weeks. However, it is common to get a touch up after 2 - 3 weeks. Like all hair, there are 3 phases to the eyelash growth cycle. There are lashes in each phase at all times, therefore, some will be lost within a couple of weeks, and others can last much longer as part of the natural cycle. Cost of Lash Extensions: The initial cost for the eyelash application is $120.00 to 150.00 for a full set, this appointment is 90 minutes. Your maintenance appointment known as a fill is $50-$90.00 and takes an hour. Some individuals like to have a touch up for special occasions, this is a half fill, cost of $30.00 and takes 30 minutes. Lash Extension Removal: Please do not attempt to remove your lashes yourself; please seek assistance from your eyelash technician. If you choose to have them removed the appointment is typically 30 minutes at a cost of $35.00. We will not be held liable for any damage that you may cause by trying to remove your eyelash extensions on your own. When extensions are applied correctly they will not harm your natural lashes; each lash extension is adhered to one single natural lash, the extension will grow out naturally as your own lash matures. The eyelash adhesive is formulated to create a solid bond, specifically for human lashes. The adhesive dries very soft on the lashes, allowing the lashes to stay flexible and bouncy just like your own lashes. Home Care for your eyelash extensions; please review and follow these recommendations. For the first 48 hours and long term care of your lashes please: ∙ Do not allow lashes to get wet. ∙ Avoid steam – so no spas, saunas, hot tubs, hot yoga, or cooking in a steamy kitchen. Steam will affect the adhesive from bonding properly. Do not swim Do not rub, perm, or tint your lashes before or after lash extension application Do not rub your eyes or lashes when washing your face – cleanse around the eyes with a wash cloth, or Q-tip Do not pull on your lash extensions – as you’re likely to pull out your natural lash with it Do not use mascara on your lashes other than the one recommended by your technician Do not use a waxy, greasy, or oil based eyeliner or eye shadow during and beyond the first 48 hours, this compromises the adhesive and will result in lash extension loss. Do not remove the extensions on your own Do not cut your extensions, you risk cutting your own lashes and altering the natural appearance of the lash extensions Always brush your lashes in the morning and at night. As your natural lashes grow and fall out due to the natural growth cycle, you will need refills. It is important to have 75% of the extensions on your lashes in order to maintain the desired clean, full consistent look. Recommended fills are every 2 - 3 weeks. I confirm and agree that I wish to engage the services of NHUNG NGUYE N (KIM) to apply Eyelash extensions.
 

Verification

General Consent and Cosmetic Tattooing Agreement

  • Please read very carefully and provide Electronic Signature when prompted: I hereby authorize NHUNG NGUYEN (KIM) of Kim’s Lashes and Brows to perform upon myself permanent cosmetic enhancement. If any unforeseen condition arises in the course of the procedure(s), I further request and authorize her to use her full judgment and do whatever she deems advisable and necessary in the circumstances.I understand that permanent cosmetic enhancement is an advanced form of tattooing. I accept responsibility for determining the color, shape and position of the enhancement as agreed during the course of my consultation. No warranty has been made to me as a result of this cosmetic tattoo or correction procedure and that the final result is not guaranteed. I understand that a sensitivity test for pigment does not guarantee that I will not have an allergic response. I am aware of that allergic response to pigment is rare and accept all responsibility if allergic response occurs. I am not requiring a sensitivity test. If I want a pigment sensitivity test, I understand it will put off my procedure for several months and it still may not fully inform me of allergens. I am aware that a sensitivity reaction to anesthetics can occur and accept all responsibility if allergic response occurs.I have informed my tattooist of any known allergies I may have, specifically; sterile water, glycerin, isopropyl alcohol, iron oxides, titanium dioxide and chromium oxide. I absolve Kim’s Lashes and Brows of any liability for any allergic reaction I may have to products used.I fully understand and accept that non-toxic pigments are used during the procedure and that the cosmetic enhancement achieved may fade over the course of 6 months to 1.5 years. Even though the color has faded, the pigment will stay in the skin indefinitely and may leave a light residue of color. I understand that dyes, inks and pigments are not approved by the food and drug administration (fda) and the health effects are not known.I accept that the highest standards of hygiene are met, and that sterile disposable needles are used for each individual client, procedure and visit. that each procedure is a process requiring multiple applications of pigment to Achieve desirable results, and that 100% success cannot be guaranteed. I understand that this is why I may need to return for a control procedure that is not included in the initial price. I understand that the second procedure, if required, will be performed 4 to 6 weeks after the initial procedure and that after a 3-month period I will be charged an additional fee for any procedures. I understand that a second procedure takes place 8 weeks after the initial application to allow the procedure site to fully heal. I will book the appointment when it is convenient for both parties. I understand that the pigment may migrate under the skin, however this is a rare occurrence. I understand that permanent cosmetic enhancement is an invasive procedure and the infusion process can be uncomfortable. I have informed my tattooist of any and all medication(s) that I am currently taking (medications such as aspirin or ibuprofen may cause the blood to thin and excessive bleeding may occur which has the possibility of disrupting my color retention). I am not currently pregnant or breastfeeding. I do not currently take Accutane (sotret, isotretinoin) and/or have not taken it for the last 12 months. I am aware that the result of the procedure is determined by the following: medication skin characteristics - i.e. dry/oily/sun-damaged natural skin undertones alcohol intake and smoking general stress a compromised immune system poor diet post procedure care treatment. I have been advised that upon completion of the procedure there may be swelling and redness of the skin, which will subside within 1-10 days dependent on lifestyle, in some cases bruising can occur. I have been advised that I can resume normal activities immediately following the procedure, however, using cosmetics, prolonged exposure to water, excessive perspiration and exposure to the sun should be limited for up to two weeks following the infusion process. I understand that immediately after the procedure the enhancement can be 30 to 50% darker than the desired result and can take between 4-10 days to lighten. I understand that the true color will be visible one month after each application, and that the color may vary according to skin tones, skin type, age and skin conditions. I appreciate that some skins accept color more readily than others and no guarantee of an exact effect or color can be given.I understand that there are few effective methods for pigment removal. laser removal has proven successful, however is a process. If i choose to undertake laser removal, I will do so at my own financial cost. No liability will be held to Kim’s Lashes and Brows or my technician.I agree to inform my doctor of my permanent cosmetic enhancement if I require a MRI scan within a 3 months period of receiving the procedure. I agree to follow all pre-procedure and post-procedure instructions as provided and explained to me by the practitioner. I understand that infection and possible scarring can occur if I do not adhere to the said instructions. I release oil wax & dye pllc and its representatives of all claims for injury, seen or unseen that may occur as a result of this procedure. I accept to waive my rights for any claim made against the tattooist and oil wax & dye pllc for any reason whatsoever. To my knowledge I do not have any physical, mental, or medical impairment or disability that might affect my well being as a direct or indirect result of my decision to have the procedure done at this time. I am at least 18 years old. i am not under the influence of drugs or alcohol. For the purpose of documentation, I also consent to the taking of “before” and “after” photographs of said procedure(s). If the treatment is discounted on an offer price I give my consent for just the area (no full face) before and after pictures to be used for marketing.
 

Verification