Printable Facial Intake and Consent Form Template

FACIAL CONSULTATION FORM
A facial consultation form is a document that is used to gather information from clients before they receive facial services.

As an esthetician, you need a well-designed and professional way of keeping track of your client's personal details, medical history, instructions, and consent approvals to avoid issues and protect you and your business from possible litigation. This form is just what you need for this. It also includes an index section to locate every client's details. Check below to view the content of this form book.

CONTENT OF THIS FACIAL CONSULTATION FORM

1. Client information section

• Name
• Address, city, state and ZIP
• Age
• Email and phone number
• Emergency contact name and phone number
• Email list added request
• Referrer

2. Medical and cosmetic history

• Medical and cosmetic history questions.

3. Client special instructions/requests

• Record up to 7 client special instructions

4. Consent and signature

• Client consent section to protect you and your business.
• Extra four blank lines.
• Parent/guardian consent approval section for clients under 18 years of age

5. Offical section

• Who reviewed the form?
• Date and signature
• Comments
• Was the client accepted or not?
• Reason for rejection.
• Facial cost and discount (If any).
• Manager name, date and signature

6. Business Information

• Name
• Email and Phone
• Address

AVAILABLE FORMATS

• PowerPoint (Editable)
• PDF
• LARGE 8.5 x 11 INCHES