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Lashed by Hermis – Client Intake & Consent Form

Welcome to Lashed by Hermis. Please complete this intake and consent form before your appointment. This information helps us provide a safe, personalized, and luxury lash experience.

Birthday
Day
Month
Year
Select Your Preferred Appointment Date & Time
Day
Month
Year
Time
HoursMinutes

Our team will confirm availability after submission.

Soft Hybrid Set 3,500 KES

Anime / Manga Set 7,000 KES

Wispy (Kim Effect) 7,000 KES

Volume Set 5,000 KES

Wet Set 4,500 KES

Hybrid Set 4,000 KES

Classic Set 3,000 KES

Mega Volume 5,500 KES

What lash extensions do you have on?
Cluster Lashes
Individual Lashes
None
Have You Had Lash Extensions Before?
Yes
No
Do You Have Sensitive Skin?
Yes
No
Any Allergies to Cosmetics or Adhesives?
Yes
No
If Yes, Please Explain
Any Eye Irritation or Infection?
Yes
No
Do You Wear Contact Lenses?
Yes
No
Have You Had Any Recent Eye Procedures or Surgery?
Yes
No
Are You Pregnant?
Yes
No
How Did You Hear About Us?

I understand that lash extension services involve the use of adhesives and cosmetic products near the eye area. I confirm that I have disclosed all known allergies, sensitivities, and medical conditions. I release Lashed by Hermis and its staff from liability for reactions or complications resulting from withheld information or failure to follow aftercare instructions.

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