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Healthy Lashes & Brows, Happy You!
Tell Us Your Health Story

Welcome to our lash extension service!

 

Please complete the following anamnesis file to help us ensure your safety and provide you with the best possible results.  

 

It's important to disclose any health conditions or allergies you may have, as this information will allow us to personalize our service to your needs.  

 

Your information will be kept confidential!! 

 

If you have any questions or concerns, please don't hesitate to ask.  

 

We're here to make your experience comfortable and enjoyable.

The Ultimate Lash & Brows Prep: Share Your Health Deets
I understand that any health conditions or allergies I may have can impact the lash extension procedure, and I will disclose all relevant information to my lash artist.
Medical History: Required
Allergies: Required
Eye Health: Required
Patch Test: Required
Patch Test: Required
Infills & Aftecare: Required
I, hereby authorize Rebeca Scattone to use photographs taken of me in any and all publications, advertisements, or promotional materials, including but not limited to website and social media.

Thanks for submitting!

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