Esthetician Facial Consent Form Template

With this esthetician facial consent form template from WPForms, your clients can authorize and consent to skincare treatments. This template is great for spas, dermatology offices, and any other business that specializes in skincare.

With our esthetician facial consent form template, you get the following fields:

• • Name
  • Phone number
  • Email address
  • Checkboxes for any symptoms the client is experiencing
  • Checkboxes for the aromas that a client prefers
  • A dropdown box for what skin type the client has
  • Checkboxes for the areas of concern
  • Radio buttons for answering whether or not the client has seen a dermatologist in the last year
  • Checkboxes for any allergies or reactions
  • A paragraph text field for clients to describe any use of Retin-A, Renova, AHAs, or Retinol/Vitamin A-derivative products in the last 3 months
  • A GDPR field for the client to authorize and consent to treatments
  • A signature field for the client to sign
  • A date field so the signature can be dated

These fields will get you started, but all of our templates are fully customizable. If there is anything you want to add or remove, you can do it easily with the WPForms drag-and-drop form builder.

What Should Be in a Facial Consent Form?

The facial consent form’s primary goal is to have the client authorize skincare treatment. It also collects personal details and contact information, as well as skin type and health information. It’s similar in nature to an esthetician client intake form and contains similar elements.

Customizing the Facial Consent Form

While the terms and conditions on the template are generic, you can customize the form template to display your company’s information. The GDPR field is used here, and you could also use that as a waiver if needed.

Another way you might choose to customize the form is to add checkboxes for the various kinds of treatments you offer so that clients can select what they want or what treatments interest them. If you have a marketing segment for it, after the client consents, you can use their skin treatment interests to send emails, coupons, and special deals.

Now you’re ready to collect facial consent forms! Get started with WPForms today to create and customize your own consent form template. Signing up with WPForms gives you access to this and hundreds of other pre-made templates.