Silk Lash Empire Check In

Policies Acknowledged

I confirm I have had access to and agree to Silk Lash Empire’s current Policies & Service Disclaimers. I understand these policies apply to today’s appointment and will be enforced as written.

Appointment Type

Mild irritation (slight redness or sensitivity)

Noticeable irritation (redness, swelling, stye, bumps, pain)

Do you currently have ANY irritation today in the area we are treating?

Since you reported irritation, the only service available today is a gentle lash removal.
Are you here for a lash removal?

I self-reported irritation BEFORE entering the salon.

I understand Silk Lash Empire is NOT diagnosing or treating any medical condition.

I am requesting a removal ONLY for comfort.

I understand removal may not relieve irritation and I may need medical follow-up if it worsens.

I acknowledge this removal is voluntary and release Silk Lash Empire from claims related to pre-existing irritation.

Silk Lash Empire Check In

First Name

Phone Number