Unlock hundreds more features
Save your Form to the Dashboard
View and Export Results
Use AI to Create Forms and Analyse Results

Forgot Password?
Get Started
OR
Sign UpLogin With Facebook
Sign UpLogin With Google

Skincare Facial Consent Form Template

Streamline your client onboarding with a comprehensive consent form

Before any skincare treatment, clear communication with your client is crucial. This Skincare Facial Consent Form template helps estheticians like you gather essential details, ensuring clients feel informed and comfortable before their session. By using this template, you can efficiently collect necessary client information, clarify treatment expectations, and promote trust, all while staying compliant with industry standards. Crafted with WCAG-aligned labels for accessibility, this template enhances your client interactions-feel free to explore the live version.

Use this Template (FREE) Live Preview
Full name
Date of birth
Email address
Mobile phone number
Emergency contact full name
Emergency contact phone number
Do you have any allergies or sensitivities?
Please Specify:
Have you been diagnosed with any of the following skin conditions?
Please Specify:
Do you have any active infections, rashes, or open wounds on the treatment area today?
Yes
No
Do you have any of the following medical conditions?
None
Diabetes
Autoimmune disorder
Bleeding or clotting disorder
Heart condition
Cancer (currently under treatment)
Thyroid disorder
Epilepsy
Other
Please Specify:
Are you currently pregnant or breastfeeding?
Yes
No
Which medications or topical products are you currently using on your face?
Please Specify:
How would you describe your skin type?
Normal
Dry
Oily
Combination
Sensitive
Not sure
What are your primary skin concerns?
Acne/blemishes
Clogged pores/blackheads
Sensitivity/redness
Dehydration/dryness
Uneven tone/hyperpigmentation
Fine lines/wrinkles
Texture/dullness
Sun damage
Other
Please Specify:
Have you had any of the following on your face or neck in the past 2 weeks?
None
Chemical peel
Microdermabrasion or dermaplaning
Microneedling
Laser treatment
Facial waxing/threading
Injectables (Botox/Dysport)
Dermal fillers
In the last 5 days, have you used any of the following on the treatment area?
None
Retinoids (tretinoin/retinol)
AHA/BHA exfoliants
Scrubs or exfoliating brushes
Self-tanner
Facial waxing
Shaved the treatment area
Have you ever had an adverse reaction to a facial treatment?
Yes
No
I understand that facial treatments can cause temporary redness, sensitivity, purging, irritation, or breakouts.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I understand that results vary by individual and that no specific outcome is guaranteed.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I consent to receive the facial treatment today.
Yes
No
I consent to before-and-after photos for service records.
Yes
No
Anything else your provider should know (optional)
Type your full legal name as your signature
Date of consent
{"name":"Full name", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"Full name, Date of birth, Email address","img":"https://www.quiz-maker.com/3012/images/ogquiz.png"}
Paper art illustration featuring a skincare facial consent form for an article on FormCreatorAI.

When to use this form

Use this form before any professional facial, peel, microdermabrasion, or extractions. It is ideal for first-time clients, clients returning after a long gap, or anyone who has new medications, allergies, or skin changes. You capture health history, product use, pregnancy status, and photo consent so you can tailor products, avoid contraindications, and document informed choices. Solo estheticians and spas use it to reduce risk, set expectations, and speed intake. If you also provide waxing, add the Waxing consultation form to cover hair removal details. To manage appointments and consent together, pair it with the Beauty saloon online booking form for a smoother check-in.

Must Ask Skincare Facial Consent Questions

  1. Do you have any allergies, sensitivities, or past reactions to skincare products or treatments?

    Knowing triggers helps you avoid ingredients and methods that could cause hives, swelling, or dermatitis. If the client also books brow services, have them complete the Semi-permanent brows- consultation form for pigment or numbing concerns.

  2. What medications, supplements, or topical products (e.g., retinoids, AHAs/BHAs, isotretinoin) are you using?

    Some products thin the skin or increase sun sensitivity, which guides your product choices and timing. This helps you postpone or modify peels, steam, and extractions to protect the skin.

  3. Are you pregnant, nursing, or managing any medical conditions we should consider?

    Certain treatments and essential oils are not advised during pregnancy, nursing, or with some conditions, so this keeps the plan safe. It also ensures documented consent that reflects current health.

  4. When was your last facial or skin treatment, and what was performed?

    Recent treatments affect barrier strength and tolerance, so timing matters. This prevents over-exfoliation and sets realistic expectations for results.

  5. Do you consent to treatment today, photos for charting, and agree to follow the aftercare instructions?

    Clear consent and aftercare improve outcomes and reduce disputes. For new clients, align this with the Hair salon new client consent form style of intake to keep records consistent across services.

More Forms

Copy/Edit Form Send to Recipients Make a Form w/AI Form Builder Must Ask Questions
  • 100% Free - No Catches
  • Collect Responses Today
  • Tailor to your Look & Feel