Facial Consent & Esthetician Intake Form
A facial intake and consent form collects the client's health history, medications, allergies, skin concerns and goals, and records that they understand the facial and its normal reactions. It is the base form most estheticians send to every new client.
No credit card required.
Intake first, then treatment-specific consent
An intake form collects information; a consent form records agreement to a specific treatment. This template does both for facials and general skincare, and it pairs with treatment-specific forms for peels, dermaplaning or microneedling.
Clients should update it whenever their health, medications or routine change, and at least once a year.
What an esthetician intake form should cover
- Contact details, date of birth and an emergency contact
- Medical history: pregnancy or breastfeeding, autoimmune conditions, diabetes, epilepsy, cold sores, keloid scarring, skin cancer
- Medications, including isotretinoin, retinoids, antibiotics and blood thinners
- Allergies to products, fragrance, latex or aspirin
- Skin type, concerns, current home routine and recent sun exposure
- Recent waxing, laser, injectables or peels
- Goals for their skin and their visits
- Optional photo consent for before-and-after pictures
Reactions to explain before treatment
- Temporary redness, especially after extractions
- Mild breakouts in the days after as skin purges
- Sensitivity to new products
Aftercare the client acknowledges
- SPF daily
- Avoid exfoliants and harsh products for a day or two
- Follow the home-care routine you recommend
Facial & Skincare templates in GlowForms
Pick the version that matches how you work, then add your logo and your own questions.
- • Facial & Skincare - Intake & Consent
- • Facial & Skincare - With Cancellation Policy
- • Facial & Skincare - With Photo & Video Release
- • Facial & Skincare - With Cancellation + Photo & Video Release
How it works
- Attach the form to your facial & skincare service.
- When a client books, they get the form by email and complete it on their phone.
- You see their answers and signature before the appointment, and they stay in the client record.
FAQ
Do I need a consent form for a basic facial?
Most states don't name a specific form, but your license board, your insurer and any complaint against you expect documented intake and consent. Treat it as required for every new client.
What's the difference between an intake form and a consent form?
Intake collects information about the client. Consent records their agreement to a specific treatment after its risks were explained. This template combines both for facials.
How often should clients update their intake form?
Whenever their health, medications or skincare change, and at least once a year.
General information, not legal or medical advice. Adapt every form to your state's rules, your insurer's requirements and the product manufacturer's protocol.