Template guide

Esthetician consent form templates

Skin treatments go wrong when a key detail is missed: a client on isotretinoin booked for a wax, or a retinoid nobody asked about before a peel. Good intake and consent forms catch these first.

What to include

1. Health history. Allergies, medical conditions, pregnancy, medication and recent procedures, kept with the client's record.
2. Active skincare and medication. Ask by name about retinoids, isotretinoin, exfoliating acids and blood thinners, since clients often don't know they matter.
3. Skin concerns and goals. Type, sensitivities, what they want to change, and a simple face map to note areas for treatment.
4. Treatment-specific consent. Separate statements for peels, dermaplaning, microdermabrasion and extractions rather than one vague form.
5. Waxing consent. Areas, contraindications, sensitivity, and the risk of redness, bumps or lifted skin.
6. Sun exposure and aftercare. What to avoid and for how long, along with written care instructions.
7. Studio policies. Deposits, late arrivals, cancellations and privacy on their own page.
8. Treatment record. Products, settings, the skin's response and your notes at every visit.

Mistakes to avoid

• Waxing or peeling without asking about isotretinoin or retinoids
• Using one consent for every treatment
• Giving aftercare only verbally
• Not updating health history between visits

Example wording you can adapt

Plain-English wording for the clauses people most often leave vague. Change the bracketed details to fit how you work.

Disclosure. I have told my esthetician about any allergies, medical conditions, pregnancy, medication and skincare, including retinoids and isotretinoin. I will update them if anything changes.

Treatment risks. I understand that treatments can cause redness, sensitivity, breakouts, or changes in pigment, and that results vary and cannot be guaranteed.

Waxing. I understand that waxing can cause redness, bumps or skin lifting. I confirm I have not used isotretinoin within the time my esthetician advised, and have disclosed any retinoid use.

Aftercare. I have received written aftercare and will avoid direct sun and active products for the period advised. I will contact my esthetician or a medical professional if I have concerns.

Making forms part of the appointment

New clients should complete their intake before arriving where possible, leaving your consultation time for a conversation rather than clipboard work. Read the answers ahead of time so you can adjust the treatment plan before they're on your table.

Ask about changes at every return visit. A one-line check on new medication, pregnancy or skincare catches most issues, and you can note the answer on the treatment record. Refresh the full form once a year or after any major health change.

Your state or country may have rules on what estheticians can perform and how long records are kept, and your insurer may have requirements too. Use these forms as a starting point, and adapt them to your treatment menu and local regulations.

Skip the blank page

Every point above is already written into our template, with highlighted fields to fill in and a PDF copy to send. Edit it in Word, Google Docs or Pages.

Questions

What forms does an esthetician need?

Most need a client intake and health history, treatment-specific consent, a skin consultation form, aftercare instructions, studio policies and a treatment record.

Why ask about isotretinoin and retinoids?

They can make skin more fragile, which matters for waxing, peels and exfoliating treatments. Follow your training, product guidance and the client's prescriber on timing.

How long should I keep client records?

It varies by location and insurer. Check your state board or local regulator, and store records securely.

Are these medical forms?

No. They are business templates for intake and consent, not medical advice. Adapt them to your local rules and treatment menu.

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