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Body Contouring Client Intake Form Template

Simplify Your Client Onboarding Process with This Form

Getting comprehensive details from clients can feel overwhelming, but this Body Contouring Client Intake Form Template makes it straightforward. Designed for body contouring professionals like you, it helps streamline the client onboarding process, ensuring you gather essential information to provide personalized treatments. Enjoy benefits like reduced administrative tasks, improved client communication, and enhanced appointment scheduling-all while being fully accessible on any device. Explore this live template to simplify your intake process today.

Use this Template (FREE) Live Preview
Full name
Date of birth
Email address
Mobile phone number
Emergency contact full name
Emergency contact phone
What areas would you like to address?
Please Specify:
What is your primary goal for treatment?
Reduce stubborn fat
Tighten or firm skin
Smooth cellulite
Reduce circumference
Improve body contours after weight change
Improve muscle definition
Not sure
Other
Please Specify:
Which, if any, body contouring or related procedures have you tried before?
Please Specify:
Current weight (please include units)
Do you have any of the following conditions?
Please Specify:
Allergies (select all that apply)
Please Specify:
Current medications and supplements (select all that apply)
Please Specify:
Tobacco or nicotine use
Never
Former
Vaping only
Current some days
Current daily
Prefer not to say
Typical daily water intake
Less than 1 liter per day
1-2 liters per day
2-3 liters per day
More than 3 liters per day
Not sure
Please list any diagnosed conditions or recent surgeries (if applicable)
Are you currently pregnant, trying to conceive, or breastfeeding?
Yes
No
Prefer not to say
Do you have reduced sensation, numbness, or nerve issues in the intended treatment areas?
Yes
No
Have you had recent sun exposure or tanning on the treatment areas within the last 2 weeks?
Yes
No
Skin concerns in the treatment area (select all that apply)
Please Specify:
I understand non-surgical body contouring is not a weight-loss method and individual results may vary.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I understand potential risks and side effects may include temporary redness, swelling, tenderness, bruising, or numbness.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I consent to receive the recommended body contouring treatment.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
Photo consent
I consent to photos for clinical documentation only
I also consent to de-identified photos for marketing and education
I do not consent to any photos
Type your full name to confirm your consent
Date of consent
I agree to receive appointment reminders and service-related messages.
Yes
No
Anything else you would like your provider to know?
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Paper art illustration depicting a body contouring client intake form with design elements related to health and beauty.

When to use this form

When you are onboarding a new client for noninvasive sculpting, use this intake before consultations, trial sessions, or package sales. It helps you screen for contraindications, map target areas, and set realistic expectations so you can recommend the right protocol and number of visits. It is also useful when a past client returns after weight changes or surgery and you need an updated baseline. Pair it with a Spa consultation form to capture broader wellness goals, and follow with a Client intake consent form to document risks and permissions. If you also offer skin services, connect this intake with a Facial intake form to keep a single profile across treatments.

Must Ask Body Contouring Client Intake Questions

  1. Which areas do you want to target and what results are you aiming for?

    This clarifies your priorities and lets you match technology, settings, and session count to the goal. If needs span skin or face, align the plan with a Beauty consultation form.

  2. Do you have any medical conditions, implants, or medications we should know about?

    Some devices are not suitable with cardiac conditions, metal implants, pregnancy, or certain medications. This protects client safety and reduces adverse events.

  3. What is your current weight, recent changes, and typical weekly activity and hydration?

    Weight trends and habits shape candidacy and expected inch loss. The details guide nutrition tips and hydration targets for aftercare.

  4. Have you had any body treatments or surgeries on these areas, and when?

    Prior treatments, fillers, liposuction, or scars affect timing, sensitivity, and technique. Knowing dates helps you avoid overlap and plan safe intervals.

  5. What schedule can you commit to for sessions and aftercare in the next 6-8 weeks?

    Consistency drives results and photos. A clear schedule sets expectations for packages, follow-ups, and touchpoints.

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