Eyelash Tinting Patch Test Form

Client Details

Patch Test Information

Please read the following information carefully.

We require a patch test be performed 48 hours prior to any tint service.
Please note that a negative patch test does not guarantee you will not have an adverse reaction to tint.
Receiving any tint service can, in some individuals, cause an allergic reaction - This reaction can occur at any time even if you have received this service on previous occasions.

Eyebrow/Lash tint allergy symptoms include:
-Stinging or burning sensation on the scalp, face, or neck
-Blisters or welts
-Itching or swelling of the scalp and face
-Swollen eyelids, lips, hands, or feet
-An angry, red rash anywhere on the body

Occasionally, an eyebrow/lash tint allergy will cause anaphylaxis to occur. This rare reaction is a medical emergency and can be fatal.
Symptoms of anaphylaxis may include:
-Skin reactions such as stinging, burning, swelling, and rashes
-Swelling of the throat and tongue
-Trouble breathing

If you experience any of the above symptoms please seek medical advice immediately.


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Patch Test Results

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Appointment Guidance

If you have tested positive for COVID-19, or have any symptoms of COVID-19 (see below) please do not attend your appointment. Please contact us as soon as you know you will be unable to attend so we can reschedule.

COVID-19 Symptoms:

  • a high temperature or shivering (chills) – a high temperature means you feel hot to touch on your chest or back (you do not need to measure your temperature)
  • a new, continuous cough – this means coughing a lot for more than an hour, or 3 or more coughing episodes in 24 hours
  • a loss or change to your sense of smell or taste
  • shortness of breath
  • feeling tired or exhausted
  • an aching body
  • a headache
  • a sore throat
  • a blocked or runny nose
  • loss of appetite
  • diarrhoea
  • feeling sick or being sick