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Waxing Consent Form Template

Simplify Your Waxing Services with an Effective Consent Form

Before your clients experience the benefits of waxing, it's crucial to ensure they're informed and comfortable. This waxing consent form template helps beauty professionals like you secure necessary approvals while educating clients about the procedure's pros and cons. Enjoy clear communication, protect yourself legally, and foster trust with clients-all through a simple, user-friendly document. Designed for ease of use, you can have your consent form ready in minutes. Experience the simplicity-use our live template today!

Full name
Date of birth
Email address
Mobile phone
Emergency contact name
Emergency contact phone
Preferred contact method
Email
Phone
Text message
No preference
Date of service
Areas to be waxed today
Please Specify:
Is this your first professional waxing service?
Yes
No
When was your last hair removal on the treatment area?
Within 1 week
1-2 weeks
3-4 weeks
Over 1 month ago
Never / first time
Not sure
Do you currently have any of the following on or near the treatment area?
Please Specify:
In the last 14 days, have you had any of the following on or near the area?
Chemical peel
Microdermabrasion or dermaplaning
Laser or IPL treatment
Tanning bed or intense sun exposure
Injectables (Botox or fillers)
None of the above
Are you currently using any of these skincare products on the area?
Prescription retinoids (e.g., Retin-A, tretinoin)
Accutane / isotretinoin (within past 12 months)
AHA/BHA exfoliating acids
Benzoyl peroxide
Topical steroids
None of the above
Other
Please Specify:
Do any of these apply to you currently?
Taking blood thinners (e.g., warfarin, aspirin therapy)
Diabetes
Autoimmune condition
Currently on antibiotics
Hormone therapy
None of the above
Other
Please Specify:
Do you have any allergies or sensitivities?
Please Specify:
Pregnancy or breastfeeding status
Pregnant
Breastfeeding
Pregnant and breastfeeding
Neither
Prefer not to say
How sensitive is your skin typically after hair removal?
Very sensitive
Sensitive
Moderate
Slightly sensitive
Not sensitive
Not sure
Patch test
I request a patch test today
I decline a patch test and accept the associated risks
Pain management preference
Please proceed efficiently with minimal pauses
Please go slowly and check in frequently
No preference
May we apply soothing products post-wax if indicated?
Yes
No
I confirm I am at least 18 years old or have legal guardian consent.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I understand waxing may cause temporary redness, irritation, skin lifting, bruising, ingrown hairs, or infection, and results vary.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I have disclosed my health history, medications, and recent treatments to the best of my knowledge, and I will follow the provided aftercare instructions.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I consent to receive waxing on the selected areas today.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
Anything else we should know?
Photo consent (optional)
Yes, photos may be taken for records only
Yes, photos may be used for records and marketing (no identifying details shown)
No, do not take or use photos
Is the client under 18 years of age?
Yes
No
Parent/guardian full name
Parent/guardian relationship to client
Parent/guardian phone
I am the legal guardian of the minor named above and consent to the waxing service.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
Client signature (type full name)
Client signature date
Parent/guardian signature (if applicable, type full name)
Parent/guardian signature date
{"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 of a waxing consent form template for FormCreatorAI article

When to use this form

Use this consent form before any waxing service, especially for first-time clients, new treatment areas (bikini, face), or when medical or skin changes occur. It helps you screen for allergies, medications (like retinoids), sun exposure, and other risks, so you can proceed safely or reschedule. You also set expectations for discomfort, aftercare, and potential reactions, and collect signatures to protect your business. For broader skincare services, you can align policies with the Esthetician consent form. When you need a signed release of liability, pair it with the Waxing waiver form. Salons, spas, and independent estheticians benefit by reducing incidents, saving time at check-in, and keeping clear records.

Must Ask Waxing Consent Questions

  1. Do you have any allergies to wax, resins, fragrances, latex, or adhesives?

    Allergy details help you avoid reactions like hives or swelling. With this info, you can patch test or switch products before proceeding.

  2. In the past 24 weeks, have you used retinoids (topical or oral), isotretinoin, AHAs/BHAs, exfoliants, or had significant sun exposure or sunburn?

    These products and exposures thin or sensitize skin, raising the risk of lifting or burns. Clear timing lets you adjust technique, skip areas, or reschedule to keep skin safe.

  3. Have you had recent cosmetic procedures near the area to be waxed (chemical peels, microblading, laser, fillers, or Botox)? If yes, when?

    Many procedures need a wait period before waxing to prevent pigment loss, peeling, or irritation. For brow work, keep records consistent with the Semi-permanent brows- consultation form .

  4. Do you have any medical conditions or medications that affect healing or bleeding (blood thinners, diabetes, active acne, eczema/psoriasis, varicose veins, pregnancy)?

    Health history reveals contraindications and healing concerns. It guides you to choose hard vs. soft wax, avoid fragile areas, or decline service when needed.

  5. Do you consent to the procedure, understand possible risks (redness, skin lift, ingrown hair), and agree to follow aftercare? If under 18, will a parent or guardian sign?

    This confirms informed consent, potential risks, and aftercare responsibilities. It protects both parties and ensures a parent or guardian signs for minors.

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