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 12th, 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 – This section of the form is similar to a Waxing Intake Form. The client’s name, address, phone number, and email are collected to ensure accurate recordkeeping.

Patient Questionnaire – The client should be asked about certain information 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 brief disclaimer about possible side effects from waxing and a few examples, such as:

Inflammation
Discomfort
Skin lifting
Reddening
Small breakouts
Welts

Waiver of Liability – When the document is signed, this part of the form legally releases the waxing company from liability if the client suffers any injuries or side effects.

Consent to Treatment – When the client reads and agrees to the prior sections of the form, they sign the document to consent to the waxing procedures being performed.