Lash Extension Intake Form

Gather natural lash profiles, known allergies, eye health history, contact lens usage, and pre-arrival eye photos before lash appointments.

Standardizing Intake and Eye Health Screenings for Lash Artists

Lash extension services require applying synthetic fibers near the delicate eye area using professional bonding adhesives. Because these products can occasionally trigger allergic reactions or irritate sensitive skin, conducting a thorough client screening before the service is essential for safety.

This digital lash extension intake form provides a structured process for gathering health history and style preferences. Collecting information on natural lash conditions, contact lens usage, and past product reactions before the appointment helps technicians protect client safety and deliver personalized results.

Core Sections of the Lash Intake Form

This template is organized to gather complete health histories and style goals in a clear, sequential format:

  • Client Information: Records full name, email, phone number, and date of birth.
  • Lash and Styling History: Asks if the client has worn lash extensions before and captures their preferred style.
  • Natural Lash Assessment: Prompts clients to describe their natural lashes (such as fine, thick, or sparse).
  • Eye Health and Sensitivities: Screens for current contact lens usage, known sensitivities, active eye conditions, and recent procedures.
  • General Health Status: Asks if the client is currently pregnant or breastfeeding, as hormonal changes can affect lash retention.
  • Appointment Logistics: Collects preferred fill scheduling frequencies and contact preferences.
  • Visual Assessment: Includes a file upload tool for clients to share photos of their natural lashes or inspiration styles.
  • Informed Consent: Concludes with a legal confirmation field regarding patch tests and treatment safety guidelines.

Screening for Contraindications and Sensitivities

Certain ocular conditions require adjustments to your lash application process. For example, clients with a history of skin allergies may benefit from a preliminary patch test with low-fume adhesives.

Similarly, clients who wear contact lenses should be advised to remove them during the service to avoid irritation from adhesive fumes. Screening for these factors beforehand ensures your team can adjust their approach and explain aftercare guidelines clearly.

Enhancing Appointment Scheduling and Prep

Reviewing client profiles before they arrive helps your salon manage appointments more effectively. For instance, if a new client has fine, damaged natural lashes, their form responses will alert your technician to prepare lightweight, classic extensions rather than heavy volume sets, protecting natural lash health and managing client expectations.

Frequently Asked Questions

What is a lash extension intake form?

A lash extension intake form is a pre-appointment questionnaire used by lash salons and technicians to collect client contact details, assess eye health, screen for allergies, and document style preferences.

Why should our salon screen for contact lens usage?

Adhesive fumes can sometimes get trapped behind contact lenses, causing dry eyes or irritation. Knowing this in advance allows technicians to remind clients to remove their lenses before the service begins.

Can clients upload photos of their eyes or target styles using this form?

Yes. The template includes a secure file upload tool that allows clients to upload photos of their eyes or inspiration styles directly from their phone or computer.

How does this form help protect my beauty business?

By documenting that the client has accurately disclosed their medical history, known sensitivities, and agreed to the aftercare terms, the form helps protect your salon’s reputation and satisfies liability guidelines.

Access 2000+ templates

It's as simple as one-two-three, and guess what? You don't even need to pay to try it out!