Free Facial Consent Form (Printable PDF)

A facial feels relaxing to the client, but you are working on reactive skin with active ingredients, steam and extractions. This free facial consent form records skin history, products, medication, allergies and informed consent. Add your logo and colours, then download the PDF for your treatment room.

Your Business Name

Facial Consent Form

Please print clearly and tick all that apply.

Client details
Full name
Date of birth
Mobile number
Email address
Your skin
How would you describe your skin?
DryOilyCombinationNormalSensitiveNot sure
Main skin concerns
Products you use at home (cleanser, serums, SPF)
Date of your last facial or skin treatment
Health and skin screening - tick any that apply
Using retinol, retinoids, Accutane/isotretinoin, glycolic or other acids
Sunburn, recent tanning or sunbed use in the last 2 weeks
Active acne, eczema, rosacea, psoriasis, cold sores or open wounds
Taking antibiotics, steroids, blood thinners or hormone medication
Pregnant, trying to conceive or breastfeeding
Botox, filler, laser, microneedling or a peel in the last 4 weeks
Allergy to fragrance, nuts, latex, shellfish, lanolin or skincare ingredients
Pacemaker, epilepsy, diabetes or a heart condition
Anything else your esthetician should know
Informed consent
I consent to a facial, which may include cleansing, exfoliation, steam, extractions, masks and massage
I understand temporary redness, tightness, breakouts or sensitivity can happen after a facial
I understand results vary and no outcome is guaranteed
I will tell my esthetician if I feel any discomfort so the treatment can be adjusted or stopped
The information I have given is accurate and complete
I agree to before and after photos for my record
Signature
Client signature
Date

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What is a facial consent form?

A facial consent form is a short health and skin questionnaire that ends with a signature. It tells you what is on the client's skin, what she is taking, and whether anything makes the treatment risky, then records that she understands what a facial involves.

Unlike a massage, the main danger is not pressure but chemistry and sensitivity. Active ingredients, steam, extraction and exfoliation can all burn or inflame skin that is already thinned by retinoids or irritated by sun. The form is how you find that out before you open a product.

What to include

Keep the form to a single page where you can, but make sure it asks the questions that change your treatment plan.

  • Skin type, main concerns, and the products she uses at home.
  • The date of her last facial, peel or laser treatment.
  • Retinol, prescription retinoids, Accutane and exfoliating acids. These make skin thin and reactive.
  • Sunburn, recent tanning and sunbed use.
  • Active conditions: acne, rosacea, eczema, psoriasis, cold sores and open wounds.
  • Medication such as antibiotics, steroids, blood thinners and hormone treatments.
  • Pregnancy and breastfeeding, which limit some ingredients and techniques.
  • Allergies, especially to fragrance, nuts, latex and common skincare ingredients.
  • Consent to the treatment, understanding of temporary reactions, signature and date.

Add a space for her to note any area she wants avoided.

When to use it

Have every new client complete it before her first facial, ideally while she is waiting or in the booking confirmation so you can read it before she is on the bed. A client who answers it with serum already on her face rarely mentions the retinol she used last night.

For regulars, do a quick verbal check at each visit. Ask what products she has started, whether she has been in the sun, and if she has had any treatments elsewhere. Ask for a fresh form every six to twelve months or when her health, medication or skin condition changes.

Use a new form before any add-on that goes deeper, such as a peel, microneedling or extractions on congested skin.

Tips from esthetician pros

Ask what she applied in the last 48 hours, not just what is in her routine. Clients often forget the glycolic toner they tried over the weekend.

Look at her skin before she signs. If it is flushed, flaky or freshly sunburnt, a form answer of "no" does not match what you can see, so trust your eyes and adjust.

Explain purging versus a reaction. If a client expects a breakout after a facial, she is less likely to panic, but she also needs to know when to contact you about swelling or blistering.

Photograph the skin with permission. Before and after pictures help you track progress and protect you if she says the facial caused a problem you can see was already there.

Record what products and techniques you used on the day. A short treatment note beside the form makes the next visit smoother.

Be honest about results. A single facial will not erase acne scars, so say what is realistic.

Common mistakes to avoid

  • Skipping the medication question. Antibiotics, steroids and Accutane change how skin reacts.
  • Treating a "no" at face value when the skin says otherwise.
  • Using one form forever. Skin, products and health change.
  • Forgetting allergies to nuts and fragrance, which show up in many masks and oils.
  • Promising clear skin in one session.
  • Leaving aftercare out. Sun avoidance and gentle products matter after exfoliation.

Do it all in LuxeDesk

Free tools get you started. LuxeDesk runs the rest of your business in one app.

  • LuxeDesk form with a client consent section and a signature box, filled in on a phone

    Forms & e-signature

    Clients fill in and sign consent forms on their phone, and the signed PDF saves to their profile.

  • LuxeDesk invoice list showing paid, sent and overdue invoices with payment reminders

    Invoices & payment reminders

    Send a branded invoice by email link and let LuxeDesk remind clients when payment is due.

  • LuxeDesk finances dashboard with a monthly income, expenses and profit chart

    Finances & profit tracking

    See income, expenses and profit for every month without opening a spreadsheet.

Frequently asked questions

Do I need a consent form for facials?

In most places a signed health history and consent is standard, and many insurers expect it. Check the rules for your area and your insurance policy.

Why does a facial form ask about retinol?

Retinol and prescription retinoids thin the skin and make it more sensitive, so exfoliation, steam or acids can cause burns or peeling. You may need to adjust or skip steps.

Can pregnant clients have facials?

Often yes, with changes. Many esthetician avoid certain acids, essential oils and some devices during pregnancy. Record the stage and ask for medical advice if unsure.

How often should a client fill in a new facial form?

Once at the first visit, then a refresh every 6-12 months or whenever her health, medication or skin condition changes.

What should I do if a client has a reaction?

Stop the treatment, cool and calm the skin, and record what happened. Advise her to see a doctor for severe swelling, blistering or breathing difficulty and notify your insurer.

Should I take photos at a facial?

Photos are useful records, but get written permission. This form has a tick box for before and after photos for her file, and separate permission is needed for marketing.

This template is for general information only and is not legal advice. Check the requirements in your state or country.