Eyelash Tinting Patch Test Form
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
-Fainting
-Nausea
-Vomiting
If you experience any of the above symptoms please seek medical advice immediately.
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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
