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Forms

MIRAGE Salon & MedSpa

Eyelash Extension Patient Consent Form

Patient Information

SECTION 1: ACKNOWLEDGMENTS AND AGREEMENTS

In order to have my eyelash extensions applied and/or removed from my eyelashes by Mirage Salon & MedSpa, from hereafter referred to as the professional technician, I agree to the following by checking each statement:

SECTION 2: CONSENT

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