JM Studio
Fernanda Aguilar Ríos · Folio: JM-2026-0146 · 28 dic 1969
Servicios: Lash lift, tint y extensiones
Página 20 · Client Record & Medical Information
| Full Name | |
| Date of Birth | |
| Phone Number | |
| Emergency Contact | |
| Emergency Phone Number | |
| Initial Appointment Date | |
| Referred By | |
| Allergies/Medical Conditions | |
| Medications | |
| Wears Glasses | |
| Wears Contact Lenses | |
| Eye Sensitivity | |
| Skin Type | |
| Patch Test Date | |
| Patch Test Result | |
| Notas de la profesional |
Página 14 · Lash Lift & Tint Consent
| I agree to hold "Joselin Ortega / JM STUDIO & SPA LLC" harmless if I decline a patch test. | ☐ |
| I understand the risks associated with the lash lift and tint service. | ☐ |
| I understand that with this procedure I may experience skin or eye irritation, eye pain, eye itching, discomfort, or swelling. | ☐ |
| I understand that my eyelashes may react to this service and I may experience under curling, over curling, over pigment or lack of pigment, or damage to the natural lashes. I agree that if I experience any of these issues, I will contact "Joselin Ortega / JM STUDIO & SPA LLC" and consult a physician at my own expense. | ☐ |
| I agree to follow the care instructions provided to me by "Joselin Ortega / JM STUDIO & SPA LLC" for the care of my lifted and/or tinted lashes. | ☐ |
| I understand that there is no guarantee of how long my lashes will remain tinted or curled. | ☐ |
| I understand I may not wear contact lenses during the procedure. They must be removed prior to the start of the procedure. | ☐ |
| I understand I must not wet, steam, or put on mascara for at least 24 hours after the service is performed. | ☐ |
| I understand that in order for "Joselin Ortega / JM STUDIO & SPA LLC" to perform a lash lift and/or tinting service, I will be required to keep my eyes closed for a duration of 30-40 minutes. I understand that if I sustain an injury due to opening my eyes during the treatment, I will hold "INSERT Joselin Ortega / JM STUDIO & SPA LLC" harmless. | ☐ |
| I understand that I will be lying in a reclined position and if I have a medical condition that might be aggravated by lying still for this period of time I will inform "Joselin Ortega / JM STUDIO & SPA LLC" of such condition and will not be able to have the lash lift and/or tint performed to my eyelashes. | ☐ |
| This agreement will remain in effect for the procedure and all future reoccurring procedures of the same nature. | ☐ |
| Signature | |
| Date |
Página 19 · Lash Details
| Natural Lash Health | |
| Natural Lash Colour | |
| Natural Lash Length | |
| Natural Lash Texture | |
| Eye Shape | |
| Style | |
| Length | |
| Curl | |
| Diameter/Dimension | |
| Primer Used | |
| Products Used | |
| Additional Notes |
Página 22 · Lash Mapping & Before/After Photo
| Mapa Left | |
| Mapa Right | |
| Before Photo | |
| After Photo | |
| Navegación de expediente profesional |
Página 21 · Service Tracker
| Date | |
| Service | |
| Amount | |
| Tip | |
| Paid By |
Fernanda Aguilar Ríos · Firma
Jimena Morales · Ficha técnica de la profesional
JM Studio · Documento generado electrónicamente