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Lash & Brow Patch Test Consent Form

A lash and brow patch test consent template — record patch tests before tint or lash treatments, flagging past reactions and skin conditions.

Description

Tints and lash adhesives sit close to the eyes and can trigger reactions, so a patch test on record isn’t optional. This lash and brow patch test consent form documents the test and the client’s consent, protecting them and you.

It captures the client’s name and the date of the test, which treatments it’s for, and whether they’ve ever reacted to tint, glue or lash products, with space to describe it. It asks about listed conditions, records the patch test and consent, and takes a signature.

Use it before any tint, lift or lash treatment that needs a patch test, and whenever your guidelines require a re-test. A signed, dated record shows the test was done. Customize the fields, add your branding, and embed it on your site or share a link in minutes.

Form fields

Everything the Lash & Brow Patch Test Consent Form above collects — 11 fields across 2 pages, so you can see exactly what it captures before you make it your own.

Patch Test & Consent

  • Full name

    Name Icon
    Name
  • Date of patch test

    Date Icon
    Date
  • Which treatments is this for?

    Multi-Select Icon
    Multi-Select
  • Have you ever reacted to tint, glue or lash products?

    Yes/No Icon
    Yes/No
  • If yes, describe what happened

    Long Answer Icon
    Long Answer
  • Any of these?

    Multi-Select Icon
    Multi-Select

Consent

  • Patch test

    Consent Icon
    Consent
  • Consent

    Consent Icon
    Consent
  • Signature

    Signature Icon
    Signature
  • Email address

    Email Icon
    Email
  • Contact number

    Telephone Icon
    Telephone
Use Template Arrow Right Icon

Template FAQs

Common questions about the Lash & Brow Patch Test Consent Form — what it captures, when to use it, and how to make it your own.

What is a lash and brow patch test?

A lash and brow patch test applies a small amount of tint, adhesive or lash product to the skin ahead of an appointment to check for a reaction. It’s a standard safety step near the eyes, and this form records the test and the client’s consent.

What should a lash and brow patch test consent form include?

This form captures the client’s name and the date of the test, which treatments it’s for, whether they’ve reacted to tint, glue or lash products before with space to describe it, whether any listed conditions apply, the patch test and consent, and a signature.

When should a lash or brow patch test be done?

Usually at least 24 to 48 hours before the appointment, so a reaction has time to appear. Doing it well ahead is the whole point — a reaction needs to show up on a test patch, not near a client’s eyes during the treatment.

Who needs a lash or brow patch test?

Any client having a tint, lift or lash treatment that requires one — new clients especially, and anyone who’s had a reaction or a long gap. The form records their history, so you know of any past reaction before working near their eyes.

Why are patch tests so important for lash and brow work?

Because these products go near the eyes, one of the most sensitive areas, and reactions can be severe. A patch test catches an allergy safely on the skin beforehand, protecting the client’s sight and comfort and giving you a documented, consented record.

Is this lash and brow patch test template free?

Yes, completely free. Add or remove fields to fit the treatments you patch-test, and restyle it to your brand, then embed it on your site or share a link — no coding needed. A free Fun Forms account lets you collect signed consent.