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Lemongrass Body Wash
  • Lemongrass Body Wash
  • Lemongrass Body Wash
  • Lemongrass Body Wash
Lemongrass Body Wash
$18.00

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 Lemongrass Hand & Body wash brings an earthy, citrus aroma to your routine, adding a brief pick-me-up to your hectic day. Our new recipe  marks a subtle but significant improvement over our previous hand soap.  With the addition of high oleic sunflower oil and a higher ratio of vitamin rich Jojoba and Avocado oils, you can use our new Hand & Body wash from head to toe with confidence, knowing that it will nourish and nurture your skin while the lemongrass scent leaves you awakened and rejuvenated.  

The refillable and reusable bottles can be paired with our Hand & Body Wash refills. 

Whispering Willow’s products are handcrafted in small batches in North Carolina.  We are a WBENC certified Woman owned business.  We are certified cruelty-free through Leaping Bunny, and we are members of 1% for the Planet.   We want you to enjoy our products knowing they are crafted with our community and our world in mind. 

Product details

• Made in United States
• Ingredients: Water, Coconut (Cocos Nucifera) Oil*, Olive (Olea Europaea) Fruit Oil*, Potassium Hydroxide, Sunflower (Helianthus Annuus) Seed Oil*, Sodium Chloride, Jojoba (Simmondsia Chinensis) Seed Oil*, Avocado (Persea Gratissima) Oil*, Fragrance†, and Citric Acid   // *certified organic †blend of essential oils
• Product Language: English
• Weight: 1.43 lb (0.65 kg)
• SKU: 9102
• GTIN: 855887004067

Eco-friendly information

Product Materials: Vegan

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.

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