HydraFacial Consent Form
A HydraFacial consent form screens for conditions that rule out vortex exfoliation and acid peel steps, explains normal redness, and records the client's signature before the facial.
No credit card required.
Gentle, but it includes exfoliation and acids
Clients think of a HydraFacial as a no-downtime facial, so screening gets skipped. The treatment still exfoliates and typically includes a mild acid step, which matters for clients on retinoids or with sensitized skin.
A dedicated form keeps the questions consistent across every provider in your studio.
What to screen before a HydraFacial
- Active acne flare, open lesions or active cold sores in the area
- Sunburn or recent tanning
- Topical retinoids in the past week and isotretinoin in the past 6 months
- Aspirin or salicylic acid allergy
- Rosacea, eczema or very sensitive skin
- Recent peels, waxing, laser or injectables in the area
- Pregnancy, if your protocol adjusts the acid step
Reactions to explain before treatment
- Mild redness for a few hours
- Temporary tightness
- Occasional small breakouts as skin clears
Aftercare the client acknowledges
- SPF daily
- No exfoliants or retinoids for a couple of days
- No heavy makeup for the rest of the day if you recommend it
HydraFacial templates in GlowForms
Pick the version that matches how you work, then add your logo and your own questions.
- • HydraFacial - Intake & Consent
- • HydraFacial - With Cancellation Policy
- • HydraFacial - With Photo & Video Release
- • HydraFacial - With Cancellation + Photo & Video Release
- • HydraFacial - Care Advice (aftercare sheet you send after the visit)
How it works
- Attach the form to your hydrafacial 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 separate consent form for a HydraFacial?
If it's on your menu as its own service, yes. A treatment-specific form names the exfoliation and acid steps that a general facial form may not.
Can clients on retinoids get a HydraFacial?
Many protocols ask clients to pause topical retinoids for several days first. The intake flags it so you can adjust or reschedule.
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.