49 High Street NF 20/21 Arndale Market Manchester M4 3AH
lilybrowbar@hotmail.co.uk
Open: Mon-Sat: 09.30 - 6.30 - Sunday 11:30 to 5:30
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Client Eyelash Consent Form
Body Massage Consultation Form
Facial Treatment Consultation Form
Patch Test / Allergy Patch Test Form
Laser Consultation Form
Vitamin Injection Consultation Form
Treatment Consultation Form
IV Therapy Informed Consent Form
Lily Brow Bar Form
Client Allergies & Patch Testing
Lily Brow Bar Consultation Form
Client Consultation Form
Aeshthetic Consultation Form
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1618 345 033
Client Allergies & Patch Testing
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Client Allergies & Patch Testing
Client Allergies & Patch Testing
Topical Method
1. Open the plaster containing the coloured sample.
2. Open the plaster containing the clear.
3. Position each plaster on either of the following areas:
a) behind the ear; or
b) on top of the arm; or
Do not place in the crease of the elbow or knee.
4. After 24 hours remove the plaster and examine the skin if there is no reaction, i.e no redness, swelling, irritation or itching, then it is safe to proceed with the treatment. Should you experience any of these symptoms, remove the plaster immediately flush the area with cold water.
5. Please telephone your technician to report the test results, and to arrange an appointment.
6. Please note that the correct colour will be mixed for you at your first treatment. The colour enclosed is for the patch test only.
Please read these instructions and perform the patch test as instructed.
On completion, sign below and take the completed form to your appointment.
I have read and understood the above information.
Client Name
Date
Before submitting the form, please check in with the shop staff. Otherwise, you will need to refill the form.
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Send Message
lilybrowbar@hotmail.co.uk
1618 345 033
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