Waxing consent form template
Screen a new client before their first wax: the areas, medicines that make wax lift skin, recent treatments and sun, and signed consent.
26 questions · about 3 min · logic · e-signature · prefill from the link
- No sign-up to start
- Unlimited responses on Free
Full name
Are you under 18?
A parent or guardian signs at the end for anyone under 18.
Mobile
What are we waxing today?
Have you been waxed before?
What you get back
Every response lands in your results the moment it is sent. Turn on email notifications and each one arrives like this, and the same answers become a row in your spreadsheet.
From PulseFormCreator
Subject New response to Waxing consent
- Full name
- Chloe Nguyen
- Are you under 18?
- No
- Mobile
- +61412555690
- chloe.nguyen@example.com
- What are we waxing today?
- Brows, Legs
- Have you been waxed before?
- Within the last 6 weeks
and 16 more answers
| submitted_at | Full name | Are you under 18? | Mobile | What are we waxing today? | |
|---|---|---|---|---|---|
| 2026-09-22T09:41:00.000Z | Chloe Nguyen | No | +61412555690 | chloe.nguyen@example.com | Brows | Legs |
The first 6 of 56 columns. Export to CSV or Excel, or send each response to Google Sheets, Notion, Airtable, Slack or a webhook as it arrives, all on the free plan. The answers above are made up.
What this form asks, and why
The last column shows how many of the 14 real waxing consent forms we read ask the same thing.
| Question | Why it is there | Real forms |
|---|---|---|
| Full name Required | Who was treated. | 13 of 14 forms |
| Are you under 18? Required | Opens the parent signature, instead of a date of birth, which 8 of 14 forms ask. | 7 of 14 forms |
| Mobile Required | For appointment changes. | 10 of 14 forms |
| Email Required | Where the aftercare link goes. | 10 of 14 forms |
| What are we waxing today? Required | Decides which follow-ups appear, such as veins for legs. | 6 of 14 forms |
| Have you been waxed before? Required | First-timers get a different talk-through and aftercare. | 6 of 14 forms |
| Have you taken Accutane (isotretinoin) or a similar acne tablet in the last 6 months? Required | Asked on 13 of 14 forms. A Yes ends the form with a rebooking note. | 13 of 14 forms |
| Are you using a retinoid cream on the area (Retin-A, retinol, tretinoin, adapalene)? Required | Retinoids thin skin, so wax can lift it. Asked on 12 of 14 forms. | 12 of 14 forms |
| In the last 3 days, have you used acids (AHA, BHA, glycolic), scrubs, peels or benzoyl peroxide on the area? Required | The acids-and-scrubs question, on 11 of 14 forms. | 11 of 14 forms |
| In the last 2 weeks, have you had laser, a chemical peel, microdermabrasion or Botox near the area? Required | Laser, peels and Botox change how skin reacts for a while. | 4 of 14 forms |
| Are you taking antibiotics, or have you in the last month? Required | Tetracyclines are on salons’ lists of drugs to avoid waxing on. | 5 of 14 forms |
| Sunburn, or sun or a tanning bed in the last 24 hours? Required | Sunburnt or freshly tanned skin tears more easily. | 9 of 14 forms |
| Do you get any of these after waxing? Required | Shapes technique and aftercare advice. | 9 of 14 forms |
| Any skin condition, cut, cold sore or rash where you’re being waxed? Required | Nobody waxes over a cold sore or broken skin. | 7 of 14 forms |
| Do you have diabetes? Required | The most-asked health condition, on 10 of 14 forms. | 10 of 14 forms |
| Varicose veins or phlebitis on your legs? Only when “What are we waxing today?” is Legs | Shown only when legs are booked. | 3 of 14 forms |
| Are you pregnant? | Optional: it changes positioning, not whether you wax. | 4 of 14 forms |
| Any allergies, including to wax, resin, pine or latex? Required | Wax, resin and pine are the product-specific risks. | 11 of 14 forms |
| What are you allergic to? Required Only when “Any allergies, including to wax, resin, pine or latex?” is Yes | Only after a Yes. | 11 of 14 forms |
| Other medication or health conditions we should know about | One open box instead of a long drug checklist. | 8 of 14 forms |
| Side effects Required | The common side effects, in plain words. | 8 of 14 forms |
| Aftercare Required | Most post-wax problems are aftercare problems. | 4 of 14 forms |
| My answers Required | So one form covers repeat visits. | 7 of 14 forms |
| May we take before-and-after photos for our portfolio? | Optional and separate, for salons that post their work. | 1 of 14 forms |
| Parent or guardian’s name Required Only when “Are you under 18?” is Yes | Who signs for a minor. 7 of 14 forms have a parent signature. | 7 of 14 forms |
| Signature Required | Signs answers and consent together. The response records the date. | 12 of 14 forms |
What we left out
- A hold-harmless release. 10 of 14 forms carry one. A consent form screens and informs; use the waiver template for release wording.
- Menstrual-cycle dates. 5 of 14 forms ask. It is comfort advice for the booking page, not safety screening.
- “Ever treated for cancer?”. 5 of 14 forms ask, most in wording copied from one trade association’s member form. The open box covers current treatment.
What 14 real waxing consent forms ask
In September 2026 we read 14 waxing consent forms that organisations use today (US 13, Canada 1) and recorded every field. This is how often each one appears. It is part of the Form Field Index.
The 14 forms we read
- Mudwraps to Manicures · day spa, Canada
- Jake's Place Men's Barbering Lounge and Spa · men's barber and spa, US
- Healing Elements Day Spa · day spa, US
- JeKa Wellness Center · wellness center, US
- La Vita Bella Day Spa · day spa, US
- Bee Waxed Cosmetics · wax studio, US
- Pure Wax Brazilian Body & Brow Studio · wax studio, US
- Bare Beauty Wax · wax studio, US
- InkySPA Tattoo Studio LLC · tattoo and waxing studio, US
- Hello Sugar LLC · waxing and sugaring salon chain, US
- Virtuous Beauty & Esthetics (ViBE) · esthetics studio, US
- Innate Allure LLC · esthetics studio, US
- The Waxing Co. · wax studio, US
- Waxed By Krissy · independent waxer, US
How the form changes as people answer
Most people see a shorter form. These questions and screens only appear when an answer calls for them.
-
When “What are we waxing today?” is Bikini or Brazilian
shows “A note”
-
When “What are we waxing today?” is Legs
shows “Varicose veins or phlebitis on your legs?”
-
When “Any allergies, including to wax, resin, pine or latex?” is Yes
shows “What are you allergic to?”
-
When “Are you under 18?” is Yes
shows “Parent or guardian’s name”
-
When “Have you taken Accutane (isotretinoin) or a similar acne tablet in the last 6 months?” is Yes
shows the “We can’t wax you just yet” ending
-
When “Are you using a retinoid cream on the area (Retin-A, retinol, tretinoin, adapalene)?” is Yes or “In the last 3 days, have you used acids (AHA, BHA, glycolic), scrubs, peels or benzoyl peroxide on the area?” is Yes or “In the last 2 weeks, have you had laser, a chemical peel, microdermabrasion or Botox near the area?” is Yes or “Are you taking antibiotics, or have you in the last month?” is Yes or “Sunburn, or sun or a tanning bed in the last 24 hours?” is Yes or “Any skin condition, cut, cold sore or rash where you’re being waxed?” is Yes
shows the “Thanks …, we’ll check a few things before we wax” ending
-
At the end
shows one of 3 thank-you screens: “Thanks …, see you soon”, “Thanks …, we’ll check a few things before we wax”, “We can’t wax you just yet”
Make it yours
-
Send it with the booking
Paste the link into your booking confirmation. Add ?therapist= and a name, and it is stored with the response as a hidden field.
-
Know before they arrive
Turn on Email me in the Connect tab, so a retinoid or Accutane Yes reaches the therapist before the appointment.
-
Use your own waiting period
Salons we read wait from 2 to 12 months after Accutane. Edit the question and the “We can’t wax you just yet” ending to match yours.
Good practice and the law
This is general information, not legal advice. Rules differ by country and state, so check anything important where you operate.
- Everywhere
Avoid waxing during isotretinoin treatment and for 6 months after, because it raises the chance of scarring. MedlinePlus, isotretinoin
- Australia
NSW Health treats waxing as skin penetration: register with your council, use single-use spatulas and never reuse wax on another client. NSW Health, waxing
- US
HIPAA covers health plans, clearinghouses and providers that bill electronically. A wax studio is generally none of these. CMS, HIPAA covered entities
- UK
Health answers are special category data: a salon needs a lawful basis and an Article 9 condition. ICO, special category data
Questions about this template
How long after Accutane can a client be waxed?
MedlinePlus says 6 months after the last dose. The form asks about the last 6 months and ends early for a Yes.
Do clients fill it in every visit?
No. The last consent line asks them to tell you if their medication or skin changes; then send the link again.
Can someone under 18 be waxed?
That is your salon’s call. The form asks, and a Yes adds a parent or guardian’s name above the signature.
Is a waxing form a medical record?
No. It is the salon’s screening and consent record, and PulseFormCreator is not HIPAA compliant, so keep clinical notes elsewhere.
Which form do you need?
The waxing consent form is one of the consent & release forms. If it is not quite the job, one of these may be.
- Tattoo consent form template
For a permanent procedure that screens blood, infection and fainting and must prove age.
- Lash extension consent form template
For lash work, where the risks are to the eyes and the adhesive.
- Massage intake form template
For massage, where the questions are about pain, injuries and pressure.
Start with the waxing consent form template
Add your aftercare link and send it with every first booking.
Updated 22 September 2026. Evidence read September 2026 from 14 real forms.