Skip to product information
Bubble Bath & Body Wash
  • Bubble Bath & Body Wash
Bubble Bath & Body Wash
$25.00

Latisse Patient Consent Form

Thank you! Your medical questionnairehas been submitted successfully.
Please fill out all required fields.

1. Ocular History (Eyes)

Are you currently using any prescription eye drops for Glaucoma or ocular hypertension? (e.g., Lumigan, Xalatan, Timolol)
Have you ever been diagnosed with high eye pressure (Ocular Hypertension) or Glaucoma?
Have you had any eye surgery in the last 6 months (Cataract, LASIK, etc.)?
Do you have a history of eye inflammation (Uveitis or Iritis)?
Do you have any active eye infections or chronic "dry eye" symptoms?
Do you wear contact lenses? (Note: Lenses must be removed before application)

2. Medical History

Do you have any known allergies to Bimatoprost or other prostaglandins?
Are you currently pregnant, planning to become pregnant, or breastfeeding?
Do you have a history of skin sensitivity or eczema on your eyelids?

3. Informed Consent & Risks

Please initial next to each point to acknowledge you understand the potential side effects:

Permanent Pigmentation: I understand that Latisse may cause increased brown pigmentation of the colored part of the eye (the iris), which is likely permanent.
Skin Darkening: I understand that darkening of the eyelid skin may occur but is typically reversible if the product is discontinued.
Hair Growth: I understand that hair growth can occur in any skin area that Latisse frequently touches; I will blot any excess solution.
Common Irritation: I understand that eye redness, itchiness, and dryness are common side effects.

Patient Attestation

I certify that the information provided above is true and accurate to the best of my knowledge. I have been informed of the potential side effects and the proper application technique.

Details

Our indulgent Bubble Bath & Body Wash is designed to transform your bathing routine into a luxurious and bubbly escape. With a thoughtfully crafted blend of premium ingredients, this product combines gentle cleansing agents with natural elements to nourish your skin and envelop your senses in pure bliss.

We understand the importance of retaining your skin's hydration, so our Bubble Bath & Body Wash is enriched with Vegetable Glycerin. This natural humectant attracts and locks in moisture, leaving your skin feeling irresistibly soft, supple, and thoroughly hydrated.

To enhance your skin's radiance and nourishment and to leave you with a healthy, youthful glow, we've included Turmeric Extract in our formula.

Indulge in the luxurious sensory experience of our Bubble Bath & Body Wash as the delicate fragrance and lavish bubbles transport you to a realm of relaxation and self-care. Suitable for all skin types, our product is free from harsh chemicals, phthalates, parabens, and sulfates.

Product details

• Made in United States
• Ingredients: Water, Sodium Cocoyl Isethionate, Cocamidapropyl Betaine, Vegetable Glycerin, Turmeric Extract, Fragrance, Diazolidinyl Urea, Iodopropynyl Butylcarbamate, PEG 150 Pentaerythrityl Tetrastearate, PEG 6 Capric/Caprylic Glycerides


May contain: FD&C Colorants
• Weight: 10 oz (283.5 g)

Eco-friendly information

Packaging: Recyclable

Production: Cruelty-free
Materials + Care

We prioritize quality in selecting the materials for our items, choosing premium fabrics and finishings that ensure durability, comfort, and timeless appeal.
Shipping + Returns

We strive to process and ship all orders in a timely manner, working diligently to ensure that your items are on their way to you as soon as possible.

You might also like...