Waxing Consent Form

A waxing consent form gathers information about a client and obtains their authorization to perform a waxing treatment. When signing the form, the client states they are providing accurate information about any medication they are taking and any medical conditions or allergies that may affect the procedure.

Last updated September 20th, 2024

Adverse Reactions

It is essential to obtain information about the client’s medications and skin treatments, as some cause skin lifting or other adverse effects after waxing.

In particular, the client must have discontinued Accutane for at least one year before waxing.

What’s Included

Client Information – The client’s name, address, phone number, and email are collected to ensure accurate recordkeeping.

Client Questionnaire – The document also serves as a waxing intake form that asks the client to disclose medical info that may affect the waxing treatment and their reaction to it. This may include questions regarding:

Medications
Skin products
Medical conditions such as diabetes, lupus, or cancer
Menstruation

Side Effects – The consent form should include a disclaimer about the possible side effects from waxing, which include:

Inflammation
Discomfort
Skin lifting
Reddening
Small breakouts
Welts

Waiver of Liability – When the document is signed, the language in the waiver indicates that the client agrees not to hold the company responsible for injuries/side effects.

Consent to Treatment – The form must include language that shows that the client understands the risks, had the opportunity to ask questions, and fully consents to the waxing treatment.