Hair Color Consent Form

Create Document

A hair color consent form is a document clients fill out before their hair coloring appointment to confirm that they understand and agree to the service. This document ensures clients are aware of the potential symptoms they can experience from hair coloring products, the extra steps needed for corrective color treatments, and any home care instructions provided by the stylist.

Hair Color Consent Form

A hair color consent form is a document clients fill out before their hair coloring appointment to confirm that they understand and agree to the service. This document ensures clients are aware of the potential symptoms they can experience from hair coloring products, the extra steps needed for corrective color treatments, and any home care instructions provided by the stylist.

Create Document
PDF
Word (.docx)
OpenDocument
PDF
Word (.docx)
OpenDocument

Last updated September 12th, 2024

Document Preview

A hair color consent form is a document clients fill out before their hair coloring appointment to confirm that they understand and agree to the service. This document ensures clients are aware of the potential symptoms they can experience from hair coloring products, the extra steps needed for corrective color treatments, and any home care instructions provided by the stylist.

Downloads: 0
  1. Home »
  2. Consent Forms (35) »
  3. Hair Salon »
  4. Color

Consent for a Patch Test

Hair dyes contain ingredients that can cause itching, swelling, and other allergic reactions. If the client has never colored their hair or doesn’t know what they’re allergic to, performing a “patch test” to check for symptoms is recommended.

A patch test involves applying a small amount of coloring product to the client’s skin and covering it with a patch. If any signs of an allergic reaction occur, the stylist must select a different product that’s safe for the client’s skin.

Sample

Download: PDF, Word (.docx), OpenDocument

HAIR COLOR CONSENT FORM

Stylist Name: [STYLIST’S NAME] Client’s Name: [CLIENT’S NAME]

Past Reaction to Color Products: [DESCRIBE PAST REACTION].

A small percentage of individuals can experience adverse reactions due to the application of hair color products. While rare, symptoms can include burning, redness, itching, and/or swelling. Due to the variety of ingredients used in hair color products, these symptoms may occur even if you have had your hair colored in the past with no reaction. Your colorist can administer a “patch test” to determine if you will experience a reaction to hair coloring. This test must be administered 48 hours prior to your appointment for coloring services. You have the right to request a patch test prior to every service at no additional charge to you.

Indicate below whether you would like the patch test performed: (check one)

☐ – I would like to have a patch test performed.
☐ – I would NOT like to have a patch test performed.

Is this service considered a “corrective” color? ☐ Yes ☐ No

Corrective color means:

  • More time and expertise are required than with a standard color service.
  • Reconstructive treatments may be needed prior to color services.
  • Multiple visits will likely be required to achieve your desired color.
  • Each subsequent visit will be a separate color service with separate charges applied.
  • Specific products/treatments may be recommended to use at home to help guarantee color correction results.

Home Care and Products Recommendations: [LIST RECOMMENDATIONS].

Client Signature: _____________________________ Date: ________
Printed Name: _____________________________