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Color Consent Form

 

 

COLOR CONSENT AND WAIVER
 

I am aware and understand that receiving any hair color service can, in some individuals, cause an allergic reaction. I fully understand that this reaction can occur at anytime even if I have received this service on previous occasions. I further understand that it is policy to perform a skin patch test twenty-four hours prior to all color services. I also understand that a negative skin patch test does not mean that a reaction will not still occur. I understand these risks and if I have any concerns I will seek medical advice prior to any color service.

 

Further, I grant, its employees and representatives, permission to color my hair and not hold them responsible for any and all adverse health reactions from this service.


NAME:_______________________________________ DATE:__________________

STYLIST:_____________________________________________________________

I ACCEPT A PATCH TEST: __________

I REFUSE A PATCH TEST: __________

PATCH TEST RESULT:
_________________________________________________

 

WITNESSED:__________________________________________________________