Client Consultation

Client Consultation:

Treatment begins with a consultation during which the practitioner asks the client a series of questions about how they are feeling, medical history and why they have requested this treatment. This is an opportunity for the therapist to ensure that there are no reasons why it would not be advisable for the client to have the treatment, ruling out any contraindications.

It is essential that you keep fully detailed client records for every single client you have. Client Record Cards/Consultation Forms should be completed on every visit the client makes to you. On their first visit, you will need to have a full consultation to ascertain if the client has any problems, and following the consultation, when you have fully recorded the details, you need to ask your client to sign and date the form to confirm that the details given are correct.

Following this, on each visit that the client makes to you, you should mark on the rear of the form the date of the visit, what the treatment undertaken was, and ask the client to sign the form to say that he/she is happy with the treatment.

DO NOT WRITE IN THE DATE FOR THE CLIENT IN ORDER TO SAVE TIME. If the client decides to sue you, you will only be covered by your insurance if the client has written in the date themselves.

It is essential that you keep these records because should there be a problem or complaint after the treatment, this information is your first line of defence – not only with the client, but also your insurance provider.

A sample form is attached, for your information, but you could design your own form to suit your requirements.

It is also advisable to get before and after photographs of every client for insurance purposes and marketing.

The consultation also allows you to explain the features and benefits and the application process to the client. The client must be aware the treatment can take up to 2 hours, and if they are not able to lay flat for this duration, they may not be suitable for the treatment. Eyelash extensions are also semi-permanent, meaning the client will be required to return for maintenance, also the permanence is dependent on the aftercare commitment from the client.

Different looks can be achieved and this must be discussed with the client as it may not be possible to achieve their desired look.

If the client wears contact lenses they should be advised to bring their lenses container with them to the appointment so they can remove and store them safely.

CLASSIC LASHES CONSULTATION FORM

Name	Date of Consultation
Address:
Tel No/Mobile	Email
Date of Birth	Occupation
Doctors Name & Address
Patch test completed on		Client signature: Technicians signature:
Adverse reaction identified

Please circle if you have (or have had) any of the following

Allergies	YES or NO
Alopecia / Hair loss	YES or NO
Blepharitis	YES or NO
Cataracts	YES or NO
Conjunctivitis	YES or NO
Contagious Disease	YES or NO
Diabetic retinopathy	YES or NO
Dry eye syndrome	YES or NO
Eczema	YES or NO
Eye infection/cyst/stye	YES or NO
Glaucoma	YES or NO
Hay fever	YES or NO
Hives	YES or NO
Hormone Imbalances	YES or NO
Hypersensitive skin	YES or NO
Lice	YES or NO
Menopause	YES or NO
Psoriasis	YES or NO
Recent beauty treatment	YES or NO
Rosacea	YES or NO
Sensitive eyes	YES or NO
Seizures	YES or NO
Skin or eyelid infection / disorder	YES or NO
Trichotilomania	YES or NO
Weak / brittle lashes	YES or NO

Are you pregnant or nursing? YES or NO

Do you wear contact lenses? YES or NO

Undergoing any medical treatment? YES or NO

Have you received lash services before? YES or NO

Used any sunbeds in the last 24 hours? YES or NO

If answered yes to any of the consultation questions, please provide details here:

……………………………………………………………………………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….

DECLARATION

Client declaration: I confirm that to the best of my knowledge the answers that I have given are correct and I have not withheld any information that may be relevant to my treatment. I have read all the above and have been given advice from my therapist. I accept responsibility for the decision to have this treatment.

Signed: ……………………………………………………………..…………… Date: ……………………………………………………..

Signature of parent/guardian if under 18: …………………………………………………… Date: ……………………………………

Therapist: …………………………………………………………………………… Date: ……………………………………………………..