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Facial consent form

One form that covers the cleanse, the actives and the extractions — signed once, before the first appointment.

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.

Facial treatment consent

20 questions · takes about 5 min

How would you describe your skin?
What would you most like to work on?

Select all that apply.

Do any of these apply to you?

Select all that apply.

Retinol, tretinoin or acid actives in the last week
Do you consent to extractions if the esthetician judges them appropriate?
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 20 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. Esthetician
  7. How would you describe your skin? (required)
  8. What would you most like to work on? (required)
  9. Do any of these apply to you? (required)
  10. Retinol, tretinoin or acid actives in the last week (required)
  11. What are you currently using on your skin?
  12. Allergies and sensitivities, including to fragrance, nuts, latex or essential oils
  13. Do you consent to extractions if the esthetician judges them appropriate? (required)
  14. I understand some treatments can bring congestion to the surface, and that this can look worse before it looks better (required)
  15. I understand redness and sensitivity for a few hours after treatment is normal (required)
  16. I understand the risks: irritation, breakouts, allergic reaction and, with extractions, temporary marking (required)
  17. I confirm the information above is accurate and I have disclosed anything relevant (required)
  18. I consent to before and after photographs (required)
  19. Client's signature (required)
  20. 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
11 Aug, 21:36Astrid Lindqvist1975-07-29(305) 555-0181astrid.l@example.com2026-08-14RafaSensitiveRedness or rosacea, Fine linesRosaceaNoneAvène cleanser, azelaic acid, mineral SPFEssential oils — reacts to lavenderNoYesYesYesYesNo2026-08-11
11 Aug, 07:48Oluwaseun Bello1996-02-17(786) 555-0163seun.b@example.com2026-08-13InesOilyBreakouts, PigmentationNone of theseStill usingSalicylic cleanser, adapalene nightlyFragranceYes, but ask me firstYesYesYesYesYes, and they may be used in marketing2026-08-11
10 Aug, 19:14Marguerite Lefèvre1989-11-08(305) 555-0119m.lefevre@example.com2026-08-12InesCombinationCongestion and blackheads, DullnessNone of theseStopped 5 to 7 days agoCerave cleanser, niacinamide, SPF 50None knownYesYesYesYesYesYes, for my record only2026-08-10

Scroll sideways for the rest of the 20 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.

Extractions need their own answer

Extractions are the part of a facial clients feel most strongly about in both directions, and the part most likely to leave visible marks. Folding them into a general consent means a client who did not want them has consented to them.

Three options — yes, ask me first, or no — takes a second and removes the entire category of complaint. "Ask me first" is the one most people pick, and it is the one a blanket consent cannot express.

Actives decide what can be used today

Skin still on tretinoin or an acid active cannot take the same products or the same steam as skin that has had a week off. Asking when the client stopped, rather than whether they use them, is the difference between a usable answer and a shrug.

Isotretinoin within six months, an active cold sore and broken skin are the three answers that change the appointment rather than the product selection.

Purging is the expectation that produces the angry message

A client whose skin breaks out four days after a deep-cleansing facial, having never been told that can happen, believes the facial caused it. A client who read and signed the line beforehand knows what they are looking at.

Redness for a few hours is the same argument at lower stakes. Both are cheap to disclose and expensive to explain afterwards.

Skin type and concern make the record useful next time

The concern is what the client wants and the skin type is what the esthetician is working with, and both change between visits. Capturing them on the consent means the consent record doubles as the treatment history, rather than being a compliance document nobody reads twice.

Sent before the first visit, this replaces the clipboard

A new client asked to list their skincare from memory in a treatment room gives a worse answer than the same client at home with the shelf in front of them. The form is better filled in before the appointment, and a link is the only way to do that.

If your spa already has a consent form, upload that PDF instead — the questions are read off the document, and it becomes a link and a spreadsheet with the wording unchanged.

Scope varies by state

What an esthetician may perform, at what depth, and under whose supervision is set by state board. Check what applies where you practise before adopting any template.

Questions people ask

What should a facial consent form include?

Client details and treatment date, skin type and the concern being worked on, screening for isotretinoin, cold sores, broken skin, rosacea, eczema, recent treatments and pregnancy, when actives were last used, current products, allergies including fragrance and essential oils, a separate answer on extractions, acknowledgement of purging and post-treatment redness, the risks, photography consent and a dated signature.

Should a facial consent form ask about extractions separately?

Yes. Extractions are the step clients feel most strongly about and the one most likely to leave visible marks. A single blanket consent cannot express "ask me first", which is what most clients actually want.

Can you give a facial to someone using retinol?

Usually, but not the same facial. Skin still on tretinoin or acids is thinner and more reactive, so steam, exfoliation and extraction all need adjusting. That is why the form asks when the client stopped rather than whether they use it.

Does a facial consent form need signing at every appointment?

Many spas take full consent at the first visit and a shorter update at each one, because products, medications and skin condition change. Sending a link costs nothing, which makes updating it each time practical in a way reprinting is not.

Is this facial consent form free?

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