Aura Consent Forms

Treatment Information:

HD Brow treatment consists of waxing, threading, tweezing and trimming, to create a bespoke eyebrow style for you and involves a consultation to discuss your requirements.

To maintain results, regular HD Brow treatments will be required.

Although your treatment will be carried out to the highest standards, complications can still occur. Possible side effects include:

Allergies or reactions to any products, ingredients or depilation techniques involved in the treatment:
Small spots and bumps
Skin grazing
Soreness, redness or itching
Sensitivity to waxing

Patch Test All of our products undergo extensive testing in line with industry standards and comply with all applicable requirements to ensure that they are safe. However a person's reaction to any product is personal to them and products of any kind can cause allergy or other reactions.
We strongly recommend that all of our customers participate in a skin sensitivity test at least 48 hours prior to the full application of any product, to reduce the risk of an adverse reaction, even if previously used. However, you are responsible for your own safety and it is your decision as to whether you wish to participate in a test or not. Please tick the box applicable to you below, then sign and date this Consultation Form to confirm your understanding of this.
I have undergone an allergy/skin sensitivity test. I do, however, acknowledge that applying any product to the skin or hair is never entirely without risk.

Patch Test Date (dd/mm/yyyy)

Personal / Contact Details

Name

Please enter Name.

Date of Birth (dd/mm/yyyy)

Please enter/select Date of Birth.

Email Address

Please enter Email Address.

Phone Number

Please enter Phone Number.

Postcode

Please enter Postcode.

Address

Please enter Address.

Therapist

Please enter Therapist.

Medical History

Do any of the following apply to you?
Recent skin infections around the eye or brow area	Yes No Please select any one option.
Eye infections in the last 4 weeks?	Yes No
Recent surgical procedure around the eye or brow area	Yes No

Have you had any of the following in the last 2-6 weeks?
Anti-ageing Creams	Yes No	Fake Tan	Yes No
Sun Bed	Yes No	Botox or Fillers	Yes No
Facial Peels, Facial or AHAs	Yes No	Antihistamines	Yes No
Steroid Creams or Tablets	Yes No

Have you suffered from or received treatment for any of the following conditions?
Acne	Yes No	Allergies	Yes No
Chemotherapy or Radiotherapy	Yes No	Diabetes	Yes No
Alopecia	Yes No	Trichotillomania	Yes No

Do you suffer from any of the following skin conditions around your eyebrow area?
Eczema	Yes No	Sensitive Skin	Yes No
Psoriasis	Yes No

TREATMENT CONSENT

I acknowledge the possible side effects and any additional risks that my medical history has highlighted and I agree to go ahead with my treatment.
I have carried out a tint patch test 48 hours before the date of my appointment and not been exposed to PPD in the previous 6 months).
I have read and understand all of the information provided above and within my patch test.
I have been offered a wax sensitivity test 48 hours before my treatment (not compulsory).
I am satisfied with the explanation of the treatment and aftercare from my therapist.
I have answered the questions regarding my medical history truthfully and to the best of my knowledge.
I agree to contact my stylist immediately in the event of any adverse effects.

Consent Form: Disclaimer

I understand a patch test is required before I have the above treatment due to a possible reaction to the product or glue. However, I am prepared to take full responsibility with this disclaimer and will not pursue any action against the therapist or salon should there be any reaction what so ever. No refunds will be given.

Please accept Disclaimer.

Are you currently taking any medication?	Yes No
Have you had a HD Brows treatment before?	Yes No
Have you ever had any previous reactions to HD Brows or other brow treatments?	Yes No
Have you ever had any previous reactions to henna, tints, dyes or lightening products?	Yes No
Are you, or could you be pregnant or breastfeeding?	Yes No

HD Brows

Personal / Contact Details

Medical History

TREATMENT CONSENT