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Free Beauty & Wellness Template

Free Client Intake/Consent

Capture health, preference, and consent details before beauty or wellness services

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 Structure

What the Client Intake/Consent 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.

Skip Manual Drafting

Generate a Client Intake/Consent from a Video

Record a walkthrough, training session, or process demonstration. Docsie AI turns it into structured documentation using this template as the starting framework.

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 FAQ

Common questions about using and generating a client Intake/Consent.

Using This Template

Q: What is a client Intake/Consent?

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

Q: Can I download this client Intake/Consent as Word or PDF?

A: Yes. This page includes free downloads in DOCX, PDF, and Markdown formats so you can edit, share, or import the template into your documentation system.

Q: Can Docsie generate this from a video?

A: Yes. Upload a process walkthrough, training recording, or screen capture to Docsie, then use this template structure to generate a first draft automatically.