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Lash Extension Client Form
Affected your hair/lash growth or loss Yes/No Please list all current medications you are taking including over-the-counter herbs vitamins and supplements Alopecia Asthma Back Pain Blepharitis Cancer/chemo Claustrophobia Conjunctivitis Diabetes Dry Eye Eating Disorder Hormonal Imbalance Intense Stress Light Sensitivity Migraines Rosacea Sensitive Eyes Stroke/ TIA Thyroid Disease Recent Eye Surgery Currant eye irritation Possible Pregnancy Watery eyes Any other health condition not listed These...Show details
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