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Free Beauty & Wellness Template

Free Client Intake/Consent Template

Download a free client intake/consent template in Word, PDF, or Markdown. Or turn any video into client intake/consent template with Docsie AI — auto-fills every required field.

Client Information Health History Service Goals Contraindication Screening Consent Statement Provider Review

Client Intake/Consent

Use this template to capture health, preference, and consent details before beauty or wellness services.

Template Metadata

Field Details
Category Beauty & Wellness
Owner [Team or owner]
Version [Version number]
Effective Date [Date]
Review Cycle [Monthly / Quarterly / Annual / Event-based]
Status [Draft / In Review / Approved]

Client Information

Collect name, contact details, emergency contact, appointment date, and preferred communication.

Item Details Owner Status
[Item or requirement] [Describe the relevant detail, evidence, or decision] [Owner] [Open / Complete]
[Item or requirement] [Describe the relevant detail, evidence, or decision] [Owner] [Open / Complete]

Notes

[Add context, assumptions, exceptions, evidence links, screenshots, calculations, or reviewer comments.]

Health History

Ask about allergies, medications, pregnancy, skin conditions, surgeries, devices, injuries, and physician restrictions.

Item Details Owner Status
[Item or requirement] [Describe the relevant detail, evidence, or decision] [Owner] [Open / Complete]
[Item or requirement] [Describe the relevant detail, evidence, or decision] [Owner] [Open / Complete]

Notes

[Add context, assumptions, exceptions, evidence links, screenshots, calculations, or reviewer comments.]

Service Goals

Capture client concerns, desired outcome, prior treatments, product use, and sensitivity history.

Item Details Owner Status
[Item or requirement] [Describe the relevant detail, evidence, or decision] [Owner] [Open / Complete]
[Item or requirement] [Describe the relevant detail, evidence, or decision] [Owner] [Open / Complete]

Notes

[Add context, assumptions, exceptions, evidence links, screenshots, calculations, or reviewer comments.]

Contraindication Screening

List yes/no screening items specific to the service and define when provider review is required.

Item Details Owner Status
[Item or requirement] [Describe the relevant detail, evidence, or decision] [Owner] [Open / Complete]
[Item or requirement] [Describe the relevant detail, evidence, or decision] [Owner] [Open / Complete]

Notes

[Add context, assumptions, exceptions, evidence links, screenshots, calculations, or reviewer comments.]

Consent Statement

State service risks, expected results, aftercare responsibility, privacy acknowledgement, and right to stop treatment.

Item Details Owner Status
[Item or requirement] [Describe the relevant detail, evidence, or decision] [Owner] [Open / Complete]
[Item or requirement] [Describe the relevant detail, evidence, or decision] [Owner] [Open / Complete]

Notes

[Add context, assumptions, exceptions, evidence links, screenshots, calculations, or reviewer comments.]

Provider Review

Include provider notes, approved modifications, declined service reason, signature, and date.

Item Details Owner Status
[Item or requirement] [Describe the relevant detail, evidence, or decision] [Owner] [Open / Complete]
[Item or requirement] [Describe the relevant detail, evidence, or decision] [Owner] [Open / Complete]

Notes

[Add context, assumptions, exceptions, evidence links, screenshots, calculations, or reviewer comments.]

Template Guide

How to Use the Client Intake/Consent Template

When to Use This Template

Deploy this template before every new client service or when updating health history annually.

  • Onboarding first-time clients before facials, massage, waxing, or injectables
  • Annual renewal appointments to capture medication or health changes
  • State board audits requiring documented informed consent and contraindication screening

What This Template Covers

This template produces a legally defensible intake record covering health screening and service consent.

  • Client demographics, emergency contacts, and HIPAA-compliant privacy acknowledgement
  • Medical history including contraindications for chemical peels, laser, or body treatments
  • Signed consent documenting service risks, aftercare duties, and client right to refuse

Common Pitfalls to Avoid

Most providers fail by skipping contraindication updates or using vague consent language.

  • Reusing outdated forms without current allergy or medication disclosure risks liability
  • Omitting service-specific risks like burns or scarring leaves consent legally unenforceable
  • Missing provider signature and modification notes invalidates the intake during malpractice claims

Template Structure

What the Client Intake/Consent Template Includes

Use this beauty & wellness template as a starting point, then customize each section to match your internal workflow, evidence, and signoff needs.

1

Client Information

Collect name, contact details, emergency contact, appointment date, and preferred communication.

2

Health History

Ask about allergies, medications, pregnancy, skin conditions, surgeries, devices, injuries, and physician restrictions.

3

Service Goals

Capture client concerns, desired outcome, prior treatments, product use, and sensitivity history.

4

Contraindication Screening

List yes/no screening items specific to the service and define when provider review is required.

5

Consent Statement

State service risks, expected results, aftercare responsibility, privacy acknowledgement, and right to stop treatment.

6

Provider Review

Include provider notes, approved modifications, declined service reason, signature, and date.

Recommended Structure

Write a Client Intake/Consent form for a beauty or wellness service. Structure with these Markdown sections:

Client Information

Collect name, contact details, emergency contact, appointment date, and preferred communication.

Health History

Ask about allergies, medications, pregnancy, skin conditions, surgeries, devices, injuries, and physician restrictions.

Service Goals

Capture client concerns, desired outcome, prior treatments, product use, and sensitivity history.

Contraindication Screening

List yes/no screening items specific to the service and define when provider review is required.

Consent Statement

State service risks, expected results, aftercare responsibility, privacy acknowledgement, and right to stop treatment.

Provider Review

Include provider notes, approved modifications, declined service reason, signature, and date.

Example Filled Template

Client Intake/Consent: Brow Lamination

Health History

  • Allergies: Latex sensitivity
  • Current medications: None reported
  • Recent facial treatments: Retinol used 3 days ago

Contraindication Screening

  • [ ] Open cuts near brow area
  • [ ] Recent chemical peel
  • [ ] Eye infection or irritation

Provider Review

Service delayed one week due to recent retinol use. Client informed and rescheduled.

Video to Document

Turn Video Into Client Intake/Consent

Already have a walkthrough or training video covering this process? Skip manual drafting. Upload the video and Docsie AI generates client intake/consent template with every required field populated — ready for review, signoff, or export.

Use the template manually, or let Docsie generate the first draft from source footage.

DOCX, PDF, and Markdown downloads
Works with process and training videos

Template FAQ

Client Intake/Consent Template FAQ

Common questions about downloading and generating a client intake/consent template.

Using This Template

Q: What is a client intake/consent template?

A: A client intake/consent template is a structured document for capture health, preference, and consent details before beauty or wellness services.

Q: Is the client intake/consent template really free?

A: Yes. The client intake/consent template is completely free to download in Word (DOCX), PDF, and Markdown formats. No signup or credit card required to download.

Q: How do I turn a video into a client Intake/Consent?

A: Upload a process walkthrough, training recording, or screen capture to Docsie. The AI analyzes the video and generates a complete client Intake/Consent using this template's structure — every required field auto-filled from the footage.

Q: Can I edit the client intake/consent template after downloading?

A: Yes. The DOCX format opens in Microsoft Word or Google Docs. The Markdown format imports into Notion, Confluence, Docsie, or any markdown editor. Customize fields, add your branding, and adapt to your internal workflow.