Client Consultation Form (Enhanced)
Comprehensive consultation form with medical history, contraindication checklists by treatment type, and consent.
Use this when
- New client consultations
- Medical history
- Contraindication screening
- Informed consent
Free — we only ask for your email on first use.
BeautyKiln Document Hub - Client Consultation Form (Enhanced) - Free to use, no attribution required
Client Consultation Form
This form should be completed before every new client's first appointment and reviewed annually for returning clients. Store securely in line with GDPR requirements.
Client Details
| Details | |
|---|---|
| Full name | |
| Date of birth | |
| Address | |
| Phone | |
| Emergency contact name | |
| Emergency contact phone | |
| Emergency contact relationship |
Medical History
Please answer every question honestly. This information is confidential and is used solely to ensure your safety during treatment.
Allergies:
Do you have any known allergies? Y / N
If yes, please list: _______________________________________________
Current medications:
Are you currently taking any medication (including over-the-counter, herbal, or supplements)? Y / N
If yes, please list: _______________________________________________
Skin conditions (tick all that apply):
- Eczema
- Psoriasis
- Dermatitis
- Rosacea
- Acne
- Vitiligo
- Other: _______________
Medical conditions (tick all that apply):
- Epilepsy
- Diabetes (Type 1 / Type 2)
- Heart condition
- High or low blood pressure
- Autoimmune condition (e.g. lupus, rheumatoid arthritis)
- Thyroid condition
- Cancer (current or previous treatment)
- Blood clotting disorder
- HIV / Hepatitis
- Mental health condition
- Other: _______________
Additional questions:
| Question | Answer |
|---|---|
| Are you pregnant or breastfeeding? | Y / N |
| Have you had surgery in the last 6 months? | Y / N - If yes, what and when: _______________ |
| Have you ever had an adverse reaction to a beauty treatment? | Y / N - If yes, please describe: _______________ |
| Have you ever had an adverse reaction to a patch test? | Y / N - If yes, please describe: _______________ |
| Do you have any metal implants or a pacemaker? | Y / N |
| Are you currently undergoing chemotherapy or radiotherapy? | Y / N |
Treatment-Specific Contraindication Checklists
Complete the relevant section(s) for the treatment being booked.
Hair Colour
- Previous allergic reaction to hair dye? Y / N
- Scalp conditions (sores, cuts, irritation)? Y / N
- Recent henna or metallic salt dye use? Y / N
- Patch test completed? Y / N - Date: _______________
- Patch test result: Clear / Reaction noted
Waxing
- Currently using retinoids (tretinoin, adapalene, isotretinoin)? Y / N
- Recent sunburn in the treatment area? Y / N
- Varicose veins in the treatment area? Y / N
- Diabetes? Y / N
- Recent chemical peel or laser treatment in the area? Y / N
- Using blood-thinning medication? Y / N
- Skin tags, moles, or raised lesions in the area? Y / N
Lash Extensions
- Current eye infection or stye? Y / N
- Previous allergic reaction to lash adhesive? Y / N
- Blepharitis? Y / N
- Recent eye surgery (including laser)? Y / N
- Patch test completed? Y / N - Date: _______________
- Patch test result: Clear / Reaction noted
Facials
- Active acne (inflamed, pustular)? Y / N
- Recent chemical peel (last 2 weeks)? Y / N
- Currently using tretinoin or retinol? Y / N
- Recent dermal filler or Botox (last 2 weeks)? Y / N
- Cold sores (active or prone)? Y / N
- Rosacea? Y / N
Aesthetics (Injectables, Microneedling, Chemical Peels)
- Pregnant or breastfeeding? Y / N
- Using blood-thinning medication (including aspirin, ibuprofen)? Y / N
- Autoimmune condition? Y / N
- History of keloid or hypertrophic scarring? Y / N
- Active skin infection in the treatment area? Y / N
- Currently on isotretinoin (Roaccutane) or stopped within last 6 months? Y / N
- Previous adverse reaction to dermal filler, Botox, or similar? Y / N
Skin / Hair Assessment Notes
(Practitioner to complete)
| Notes | |
|---|---|
| Skin type / Fitzpatrick scale | |
| Hair type and condition | |
| Scalp condition | |
| Current skincare routine | |
| Areas of concern noted | |
| Other observations |
Treatment Goals and Expectations
What does the client want to achieve from today's treatment?
Are the client's expectations realistic and achievable? Y / N
If expectations need managing, notes: _______________________________________________
Treatment Plan Agreed
| Details | |
|---|---|
| Treatment(s) booked | |
| Areas to treat | |
| Products to be used | |
| Expected results | |
| Number of sessions recommended | |
| Aftercare provided? | Y / N |
Consent
| Have the risks and possible side effects been explained? | Y / N |
| Has the client had the opportunity to ask questions? | Y / N |
| Patch test completed (if required)? | Y / N - Date: _______________ |
| Photo consent discussed? | Y / N (refer to separate Photo and Social Media Consent Form) |
Client Declaration
I confirm that the information I have provided is accurate and complete to the best of my knowledge. I understand that withholding relevant medical information may affect the safety and outcome of my treatment. I consent to the treatment plan described above.
| Client signature | _________________________ |
| Print name | _________________________ |
| Date | _________________________ |
Practitioner Notes
| Practitioner name | _________________________ |
| Practitioner signature | _________________________ |
| Date | _________________________ |
| Notes from appointment |
Follow-Up
| Details | |
|---|---|
| Follow-up appointment date | [DD/MM/YYYY] |
| Next review of this consultation form | [DD/MM/YYYY] |
| Aftercare instructions given? | Y / N |
| Product recommendations given? | Y / N |
How to use this template
- Complete this form before every new client's first appointment. Do not skip it because the client seems healthy or says "I've had this done before."
- For returning clients, review the form at least once a year and ask if anything has changed (medications, health, pregnancy).
- If a client discloses a contraindication, do not proceed with the treatment until you have assessed the risk. Refer to your training or contact the client's GP if unsure.
- Store completed forms securely - either in a locked filing cabinet (paper) or a password-protected system (digital). This is personal and special category data under GDPR.
- Keep consultation records for at least 7 years after the client's last appointment. For treatments involving minors, keep records until the client is 25.
- If a client refuses to complete the form, document their refusal and consider whether it is safe to proceed. You are within your rights to decline treatment.
- This form does not replace proper training in contraindications for your specific treatments.
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