Client Consent Form (General)

General treatment consent form covering health data, treatment consent, GDPR Article 9 and photo consent.

BeautyKiln Document Hub - Client Consent Form - Free to use, no attribution required

Client Consent Form

This is a general treatment consent form covering health data collection. Use it alongside your consultation card for every treatment. For treatments with specific risks (e.g. semi-permanent makeup, chemical peels, lash lifts), you should also use a treatment-specific consent form.

Practitioner Details

Practitioner name: ______________________________

Trading name: ______________________________

Client Details

Client name: ______________________________

Date of birth: //________

Treatment

Treatment to be carried out: ______________________________

Area(s) to be treated: ______________________________

Date of treatment: //________

Health Information Declaration

Please read the following statements carefully and tick each box to confirm.

• I confirm that the information I have provided on my consultation card is accurate and complete to the best of my knowledge.

• I have informed my practitioner of all relevant medical conditions, allergies, medications (including over-the-counter), and any changes to my health since my last visit.

• I understand that withholding or providing inaccurate health information may affect the safety and outcome of my treatment.

• I confirm that I am not aware of any reason why I should not receive this treatment.

Treatment Consent

Please read the following statements carefully and tick each box to confirm.

• The treatment has been explained to me in terms I understand, including what it involves and what to expect during and after the treatment.

• The expected results have been discussed with me. I understand that results may vary and that no guarantee of a specific outcome has been given.

• The potential risks and side effects have been explained to me, including: ______________________________

• The aftercare instructions have been explained to me and I understand my responsibility to follow them.

• I have had the opportunity to ask questions and all my questions have been answered to my satisfaction.

• I consent to the treatment described above.

Patch Test (if applicable)

• A patch test was carried out on //________ and the result was negative (no reaction).

• A patch test is not required for this treatment.

Processing of Health Data

Under UK GDPR (Article 9), health information is classed as special category data and requires your explicit consent to process.

• I consent to my practitioner collecting and storing health information about me (including the details on my consultation card) for the purpose of providing safe and appropriate beauty treatments.

• I understand that my health information will be stored securely, kept confidential, and retained in line with my practitioner's privacy notice.

• I understand that I can withdraw this consent at any time by contacting my practitioner, although this may mean they are unable to carry out certain treatments safely.

Photo Consent

• I consent to photos being taken of the treatment area for record-keeping purposes only (before, during and/or after treatment). These photos will not be shared publicly.

• I do not consent to photos being taken.

For consent to use photos on social media, websites, or marketing materials, please complete a separate photo and social media consent form.

Signatures

Client:

Signed: ______________________________

Print name: ______________________________

Date: //________

Practitioner:

Signed: ______________________________

Print name: ______________________________

Date: //________

For Clients Under 18

If the client is under 18, a parent or legal guardian must also sign.

Parent/guardian name: ______________________________

Relationship to client: ______________________________

Signed: ______________________________

Date: //________

How to use this template

This form collects consent for treatment and for processing health data under UK GDPR. Both are required before you carry out any treatment.

Key points:

• Complete this form with every new client. For returning clients, review and re-sign at least every 12 months or whenever there is a change to their health, a new treatment, or a significant gap between visits.
• Go through the form with the client rather than just handing it to them to sign. Make sure they understand what they are consenting to. If they have questions, answer them before they sign.
• Fill in the specific risks and side effects for each treatment in the space provided. Do not leave this blank - it is your evidence that you explained the risks.
• The health data consent section covers UK GDPR Article 9 (special category data). This is separate from your privacy notice - the privacy notice tells clients what you do with their data, while this form collects their explicit consent to process it.
• The photo consent section here is limited to clinical record-keeping. If you want to use photos for social media or marketing, you need a separate, more detailed photo consent form (see the BeautyKiln photo and social media consent template).
• For clients under 18, always get a parent or guardian signature as well. Check your insurance policy for any age restrictions on the treatments you offer.
• Store signed consent forms securely with the client's consultation card. Keep them for at least 7 years after the last appointment.
• A signed consent form does not protect you if you were negligent or if the client did not genuinely understand what they were consenting to. The form is evidence of a conversation, not a replacement for one.