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Hair Color Consent Form Template

Simplify Client Care with a Hair Color Consent Form

When clients seek a new hair color, it's crucial to ensure they understand the procedure and its risks. This Hair Color Consent Form template is designed specifically for salons and hairstylists, helping you gain client approval before any treatment. With this form, you can effectively communicate the necessary information, establish clear expectations, and protect your business legally. Benefit from increased client trust, smoother consultations, and reduced liability-all while maintaining WCAG-aligned accessibility for every client. Feel free to explore this customizable template.

Client full name
Email address
Mobile phone
Parent/guardian full name (if applicable)
Parent/guardian phone (if applicable)
Are you under 18 years old?
Yes
No
Do you have any known allergies?
Have you ever had an allergic reaction to hair color or bleach?
Yes
No
If you have had a past reaction or other relevant health information, please describe
Current scalp or skin conditions (select all that apply)
None
Irritation or itching
Rash
Eczema
Psoriasis
Dandruff/seborrheic dermatitis
Sunburn
Open cuts/abrasions
Other
Please Specify:
Are you pregnant or breastfeeding?
Pregnant
Breastfeeding
Both
No
Prefer not to say
Please list any medications that may affect skin sensitivity or hair condition (enter 'None' if not applicable)
Have you used henna, metallic salts, or progressive dyes on your hair?
Henna
Metallic salts/progressive dyes
Both
No/Unsure
When was your last hair color or lightening service?
Within 2 weeks
2-4 weeks
1-3 months
3-6 months
6-12 months
Over 12 months
Never
Services received in the past 12 months (select all that apply)
What is your primary hair color goal today?
Are you comfortable with multiple sessions to reach your goal?
Yes
No
Have you completed a skin allergy (patch) test with this salon?
Within 48 hours
Within 7 days
Within 6 months
Over 6 months ago
Never
Unsure
Patch test result (if done)
No reaction
Mild redness
Itching
Swelling
Rash/hives
Other reaction
Not applicable
Based on the information and patch test (if applicable), I consent to proceed with hair color services today
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I understand that hair color services involve chemicals and carry potential risks including allergic reaction, irritation, breakage, or unexpected results
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I acknowledge that results can vary based on hair history and condition, and corrective work or additional sessions may incur extra charges
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I will inform my stylist immediately if I experience discomfort during the service
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I confirm the information provided is complete and accurate to the best of my knowledge
Strongly disagree
Disagree
Neither
Agree
Strongly agree
Photo and marketing consent
No photos
Photos for client record only (not shared)
OK to use photos for marketing with hair only (face not shown)
OK to use photos for marketing with face visible
Appointment date
Stylist name
Stylist notes
Aftercare instructions provided
Yes
No
Client signature (type full name)
Client signature date
Parent/guardian signature (type full name, if applicable)
Parent/guardian signature date
Stylist signature (type full name)
Stylist signature date
{"name":"Client full name", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"Client full name, Email address, Mobile phone","img":"https://www.quiz-maker.com/3012/images/ogquiz.png"}
Paper art illustration depicting a hair color consent form with colorful hair options and creative design elements

When to use this form

Use this form before any color service: first-time clients, big changes like bleach or vivids, corrective color, or clients with past sensitivities. It helps you screen for allergies, chemical history, medications, and expectations, then document informed consent. Salons, suites, and mobile stylists benefit from a time-stamped record that reduces risk and disputes. For a broader health profile at check-in, pair it with the Spa client intake form. If a visit includes waxing too, keep policies consistent by adding the Waxing consent form. The outcome: safer services, fewer reactions, and clear aftercare so clients know what to expect.

Must Ask Hair Color Consent Questions

  1. Do you have any allergies or past reactions to hair color, bleach, PPD, ammonia, henna, or latex?

    Knowing specific allergens lets you require a patch test, choose alternative formulas, or decline unsafe services. It protects clients and reduces liability by documenting known risks.

  2. When was your last color or chemical service, and what products were used?

    Timing and product history help you judge porosity and processing limits to avoid breakage or banding. You can tailor formulation, developer strength, and processing time with confidence.

  3. Have you used box dye, metallic salts, henna, or color-depositing shampoos in the past 12 months?

    These ingredients can react with lightener and cause damage or unpredictable results. This tells you when to run a strand test, perform a detox, or adjust expectations.

  4. Are you currently pregnant, nursing, on medication, or experiencing scalp conditions that could affect this service?

    Health status and scalp conditions may change whether you proceed, modify the plan, or advise testing. Recording this protects sensitive clients and supports clear professional recommendations.

  5. Do you understand the potential risks and outcomes, and consent to proceed with a patch or strand test if recommended?

    Clear acknowledgement of risks sets expectations and helps prevent misunderstandings about results or maintenance. For multi-service menus, align wording with the Skincare facial consent form to keep your consent policy consistent.

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