Esthetician (Facial) Client Intake Form

An esthetician client intake form is used by estheticians to collect information on new clients before their first treatment. The form asks the client to describe their skin type, condition, and routine, any allergies and issues, and any concerns they wish to address. Collecting this information ahead of time helps the esthetician prepare for the client’s specific needs.

Esthetician (Facial) Client Intake Form

An esthetician client intake form is used by estheticians to collect information on new clients before their first treatment. The form asks the client to describe their skin type, condition, and routine, any allergies and issues, and any concerns they wish to address. Collecting this information ahead of time helps the esthetician prepare for the client’s specific needs.

Last updated September 30th, 2024

An esthetician client intake form is used by estheticians to collect information on new clients before their first treatment. The form asks the client to describe their skin type, condition, and routine, any allergies and issues, and any concerns they wish to address. Collecting this information ahead of time helps the esthetician prepare for the client’s specific needs.

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Licensing Requirements

Estheticians must be licensed by the appropriate governing body of their state, such as the health department, business/professional department, or state board of cosmetology (or equivalent).

To become a licensed esthetician, an individual must complete:

  1. High school (not required by all states)
  2. A state-mandated number of hours of training at an esthetician school
  3. An apprenticeship (not required by all states)
  4. The state board exam

What to Include

Client Details

The client’s name, address, phone number, and email must be provided.

Allergies & Reactions

It’s vital that the esthetician is provided a list of any medical conditions or allergies the client has, as well as medications they take that may cause a reaction to skin treatments.

Skin Type & Condition

The client will often be asked to specify their skin type, current condition, and concerns so the esthetician can tailor their treatment for an optimal result.

Skin Care

Including the client’s skincare routine and professional treatments or procedures helps the esthetician adapt their treatment to avoid negative interactions with any products the client uses or procedures they’ve had.

Acknowledgment & Release

This section requires that the client not hold the esthetician or business liable for any adverse effects or undesirable results arising from their treatment. The language should state that the client has disclosed all relevant information, that they undertook treatment voluntarily, and assume full responsibility.

Client Signature

Once the previous sections are completed, the client must print their name, provide their signature, and enter the form’s signing date.

Esthetician vs. Aesthetician

Although “esthetician” and “aesthetician” sound the same and both involve skin care, they are two different professions with different training and qualifications. An esthetician focuses on cosmetic treatments, while aestheticians specialize in medical treatments.

Estheticians work either independently or at spas, salons, or resorts and provide cosmetic services, including the following:

  • Cleansing and exfoliation
  • Applying facial masks
  • Performing facials
  • Massage
  • Hair removal
  • Preparation and post-injection care for botox
  • Product recommendations

Aestheticians generally work at clinics, hospitals, or rehabilitation centers and specialize in medical treatments such as those listed below. An aesthetician will most likely use a patient client intake form for new clients.

  • Skin rejuvenation or resurfacing
  • Microlaser peels
  • Scar or blemish reduction
  • Hair or tattoo removal
  • Botox injections

Esthetician Client Intake Form (Preview)