Exhale Spa East Patch Test

First name

Last name

Date

I am being patch tested (AT LEAST 48HOURS PRIOR - LASH LIFT IS NOT SUITABLE DURING PREGNANCY OR BREASTFEEDING) for:

Other

Have you had a previous allergy? If you tick yes you are unable to proceed with this treatment.

If you have a reaction to the patch test within 48 hours please contact the salon. We will not be able to proceed with any treatments if a reaction occurs.
I understand that successful completion of a patch test does not guarantee an allergic reaction will not occur and I have chosen to undertake this treatment at my own risk.

Disclaimer

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TECHNICIAN'S SIGNATURE

*PLEASE CLICK SUBMIT A SECOND TIME - AFTER DOUBLE-CHECKING ALL INFO IS CORRECT*