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Dermaplaning consent form

Including the question every client asks afterwards — answered in writing, before the blade.

Free, and no account needed to start. Send the link however you normally would: text, email, or a group chat. People fill it in on their phones. Sort the answers, search them, download them as a spreadsheet. 100 replies a month on the free plan.

Or download the printable PDF. Free, no email address, ready to print and pin up.

Already have your own version? Upload it and keep your wording.

The form people fill in, and the list you get back

This is the real form, not a screenshot of one, and it works. Below it is what you see as the answers come in.

Dermaplaning consent

19 questions · takes about 5 min

Is this your first dermaplaning treatment?
Are you having anything else today?

Select all that apply.

Do any of these apply to you?

Select all that apply.

Retinol, tretinoin or acid actives used in the last week
I consent to before and after photographs
Client's signature
Sign above with your finger or mouse

By signing here I agree that this signature, and the answers submitted with it, are mine and have the same effect as a signature on paper.

All 19 questions

  1. Client's full name (required)
  2. Date of birth (required)
  3. Phone number (required)
  4. Email address
  5. Date of treatment (required)
  6. Treating provider
  7. Is this your first dermaplaning treatment? (required)
  8. Are you having anything else today?
  9. Do any of these apply to you? (required)
  10. Retinol, tretinoin or acid actives used in the last week (required)
  11. Allergies and skin sensitivities
  12. I understand that dermaplaning removes vellus hair at the surface and does not make it grow back thicker, darker or faster (required)
  13. I understand my skin may feel tight, look flushed and be more sensitive for one to two days (required)
  14. I understand the risks: nicks or scratches, irritation, breakouts and, rarely, infection (required)
  15. I agree to use sunscreen daily and avoid direct sun for 48 hours (required)
  16. I have received the aftercare instructions and had the chance to ask questions (required)
  17. I consent to before and after photographs (required)
  18. Client's signature (required)
  19. Date signed (required)

You can reword any of these, or add your own, after you create it.

An example of what you see when answers come in, with three replies
21 Aug, 19:52Jonah Feldman1993-06-27(646) 555-0190jonah.f@example.com2026-08-24M. Okafor, LENo, I have had it elsewhereNothing elseActive or cystic acne in the treatment areaStill usingNone knownYesYesYesYesYesYes, for my clinical record only2026-08-21
20 Aug, 13:18Ruth Chen1988-12-05(917) 555-0164ruth.c@example.com2026-08-22T. Halvorsen, LENo, I have had it here beforeEnzyme treatmentNone of theseNoneFragranceYesYesYesYesYesNo2026-08-20
20 Aug, 09:41Amara Nwosu1996-03-12(646) 555-0138amara.n@example.com2026-08-21T. Halvorsen, LEYesHydrating facialNone of theseStopped 5 to 7 days agoNone knownYesYesYesYesYesYes, for my clinical record only2026-08-20

Scroll sideways for the rest of the 19 answers, and press any heading to sort by it. In your own form you can search the answers as well, and download them as a spreadsheet at any time.

Put the regrowth myth on the form

Every dermaplaning client has heard that the hair grows back thicker. It does not — vellus hair is cut at the surface and regrows at the same texture — but the belief is universal enough that it is worth a signed line rather than a reassurance in conversation.

Having it on the form does two things: it settles the question before treatment, and it means a client who comes back convinced otherwise is looking at their own signature on the sentence.

Actives are the screening answer that changes today's plan

Skin that is still on tretinoin or an acid active is thinner and more prone to abrasion. Asking "when did you stop?" rather than "do you use retinol?" gets the answer that actually decides whether to proceed and how lightly to work.

Isotretinoin within six months, active or cystic acne in the area, and open or broken skin are the three answers that mean rebooking.

Record what else is happening in the same appointment

Dermaplaning is usually one part of a longer treatment, and a peel or enzyme applied to freshly dermaplaned skin behaves differently from the same product on untreated skin. Recording the combination is what makes the note useful if the client reacts.

Expectations, in three lines rather than one

Tightness and flushing for a day or two, the possibility of a small nick, and the possibility of a breakout afterwards are the three things clients report as surprises. Each is ordinary; each generates a message to the front desk when it was not mentioned first.

One form, signed before every appointment

Dermaplaning is a repeat treatment on a four to six week cycle, which makes it the clearest case for a link rather than a clipboard: the client answers the actives question honestly at home, the record is dated automatically, and nothing has to be reprinted.

If you already have a consent form your insurer or state board expects, upload it instead — the questions are read off the document and the wording is unchanged.

Scope of practice varies

Whether dermaplaning is within an esthetician's scope, and what supervision is required, is set by state board and differs. Check what applies where you practise before adopting any template.

Questions people ask

What should a dermaplaning consent form include?

Client details and treatment date, whether it is a first treatment, anything else being done in the same appointment, screening for isotretinoin, active acne, cold sores, broken skin, recent peels and blood thinners, when retinol or acids were last used, allergies, an explicit statement that hair does not grow back thicker, the expected tightness and flushing, the risks, sun protection, aftercare and a dated signature.

Does dermaplaning make hair grow back thicker?

No. Vellus hair is cut at the surface and regrows at the same texture and colour. It is the most common client belief about the treatment, which is why this template puts it in the consent rather than leaving it to conversation.

Who should not have dermaplaning?

Isotretinoin use in the last six months, active or cystic acne in the treatment area, cold sores, sunburn, open or broken skin, and a recent peel or laser are the standard reasons to postpone.

How often can a client have dermaplaning?

Most practices work on a four to six week cycle. Because it repeats that often, taking consent by link rather than on paper saves the reprinting and gives you a dated record each time.

Is this dermaplaning consent form free?

Yes. Download the PDF with no account and no email address, or send the online version before the appointment.

Ready to send it out?

Every question above is already written. Make it a form, get your link, and send it. Reword anything first if your group asks it differently.

Free, no account needed to start, and the printable PDF stays one click away.

Already have your own version of this form?

You build nothing. Drop the PDF here, or photograph the printed copy, and the questions are read off it: no canvas, no dragging a box onto each field, no mapping step. The wording your organisation already approved stays exactly as it is, and you get a link that collects the answers back as a spreadsheet — and as the original document, filled in.

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