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Client Consent Form Template

Ensure Transparency with Your Clients through Consent Forms

Navigating client agreements can be tricky without the right tools. This client consent form template helps professionals like you secure clear permissions from clients, ensuring everyone is on the same page. Enjoy streamlined communication, enhanced legal protection, quick onboarding processes, and improved trust with your clients, all while maintaining a professional appearance. Discover how this template can simplify your work-try the live version today!

Use this Template (FREE) Live Preview
Full name
Are you 18 years or older?
Yes
No
Email address
Phone number
Preferred contact method
Email
Phone call
Text message
No preference
Service or program you are consenting to
I acknowledge the following
I have read and understand the information about the service
I understand potential benefits and risks have been explained
I know participation is voluntary and I can withdraw consent at any time
I had the opportunity to ask questions
I understand the scope and limitations of the service, including any exclusions
I consent to the collection, use, and storage of my personal data as described in the privacy notice
Yes
No
Permission to share information with third parties for coordination of services (only with my permission or as required by law)
Yes
No
Not applicable
Preferred methods for appointment reminders and essential service messages
Email
SMS/text
Phone call
None
Consent to receive marketing updates or promotions
Yes
No
Media release: consent to photo, audio, or video being captured and used for informational or promotional purposes
Yes
No
Not applicable
I acknowledge the fees and billing terms provided to me
Yes
No
I acknowledge the cancellation and no-show policy
Yes
No
Emergency contact full name (optional)
Emergency contact phone (optional)
Minor's full name (if applicable)
Are you providing consent on behalf of a minor?
Yes
No
I consent to receive the services described above
Yes
No
Type your full name as your signature
Date of signature
I confirm the information provided is accurate to the best of my knowledge
Yes
No
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paper art illustration depicting client consent form template for FormCreatorAI article

When to use this form

Use this consent template when you need a clear record of permission before delivering services or care. It fits clinics and private practices onboarding a new client, salons or studios before a procedure, and agencies that need a client release form for media or data use. For straightforward needs, start with a Simple informed consent form. If you run counseling or mental health sessions, see the Therapy informed consent form for language you can adapt. Personal service providers can reference the Body piercing consent form to cover risks and aftercare. The result: informed decisions, fewer disputes, and documented authorization you can share with your team.

Must Ask Client Consent Questions

  1. Do you authorize the provider to deliver the named service or procedure?

    This makes permission explicit and defines the scope of work, which reduces disputes. It also gives you a clear record to share with staff or partners.

  2. Have you read and understood the risks, benefits, and alternatives?

    This confirms informed decision-making and helps meet legal and ethical standards. It also prompts clients to ask questions before they sign.

  3. Are you at least 18 years old, or do you have parent or guardian consent?

    Age and capacity rules protect you and the client from invalid agreements. Capturing guardian details up front saves time and avoids rescheduling.

  4. Do you have any relevant medical conditions, medications, or allergies we should know about?

    Health details guide safe service choices and help you adapt procedures. This reduces risk and improves outcomes, especially for skin, body, or clinical services.

  5. Do you agree to how we will store and share your information, including confidentiality limits?

    Setting expectations for privacy and data use builds trust and compliance. If you run groups or therapy, align this with your policies in the Group therapy confidentiality form.

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