Consent Form | AK Beauty Bar

Do you have any allergies to the following?

Acrylates or cyanoacrylates? (Example: Dermabond)

Nail Adhesives

Tape (bandages)/ Latex

Long-lasting or waterproof cosmetics

Cosmetic

Any allergies not included

None

Other (Elabotrate in additional comments)

Have you had or used any of the following in the last 4 weeks?

Please note that medications used to treat the following conditions may cause hair/natural eyelash loss. If you are on medications to treat any of the following, please mark them below:

Please mark all conditions that apply:

Client Intake Form

Brows Form

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Lashes Form

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