Start free

Waxing consent form template

Screen every new waxing client for the medicines and treatments that make wax lift skin, then get their signed consent.

Use this template
Preview · answers aren’t saved
Page 1 of 4

Full name (required)

Are you under 18? (required)

A parent or guardian signs at the end for anyone under 18.

Mobile (required)

What are we waxing today? (required)

Choose as many as you like

Have you been waxed before? (required)

26 questions · about 3 min · logic · signature · prefill from the link

  • No sign-up to start
  • Unlimited responses on Free

Print it as a PDF Word version

Change the questions in Word, then print.

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
+14155550172
Email
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

A sample email with made-up answers.
submitted_atFull nameAre you under 18?MobileEmailWhat are we waxing today?
23 Sep 2026 09:41Chloe NguyenNo+14155550172chloe.nguyen@example.comBrows | Legs

Export to CSV or Excel, or send responses to Google Sheets, Notion, Airtable, Slack or a webhook. All free.

What happens after someone submits

Set it up once in the Workflows tab, and screening answers reach the therapist before the client does.

  1. Submitted

  2. A new client sends the form

    The therapist gets the answers by email, with a PDF of the signed consent for the client file.

  3. A skin answer needs checking

    Reply from their response about the retinoid or peel, and their answer comes back into the same thread.

  4. Accutane ends the form early

    That screen can carry a Book a time button, so they rebook for after the six-month wait.

  5. They come back in six weeks

    Their People record keeps each consent they signed, free for up to 1,000 people.

Set this up when you use the template

What this form asks, and why

A waxing consent form should ask about Accutane and retinoids, recent acids, peels, laser and sun, broken skin, diabetes and allergies, then record the side effects, aftercare and a signature, from a parent for anyone under 18. It should also tell clients what a Yes means for their appointment.

The last column shows how often real waxing consent forms ask for it.

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) 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?” includes “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 how and when. 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

How many include each field, from forms organizations use today. Part of the Form Field Index.

  1. Accutane (isotretinoin) 13 of 14
  2. Name 13 of 14
  3. Signature 12 of 14
  4. Retinoid creams 12 of 14
  5. Allergies 11 of 14
  6. Acids, scrubs or peels 11 of 14
  7. Diabetes 10 of 14
  8. Email address 10 of 14
Read September 2026 · US 13, Canada 1 · Sources
  1. Mudwraps to Manicures · day spa, Canada
  2. Jake's Place Men's Barbering Lounge and Spa · men's barber and spa, US
  3. Healing Elements Day Spa · day spa, US
  4. JeKa Wellness Center · wellness center, US
  5. La Vita Bella Day Spa · day spa, US
  6. Bee Waxed Cosmetics · wax studio, US
  7. Pure Wax Brazilian Body & Brow Studio · wax studio, US
  8. Bare Beauty Wax · wax studio, US
  9. InkySPA Tattoo Studio LLC · tattoo and waxing studio, US
  10. Hello Sugar LLC · waxing and sugaring salon chain, US
  11. Virtuous Beauty & Esthetics (ViBE) · esthetics studio, US
  12. Innate Allure LLC · esthetics studio, US
  13. The Waxing Co. · wax studio, US
  14. 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.

  1. When “What are we waxing today?” includes “Bikini” or “Brazilian”

    shows “Bikini and Brazilian waxing means your therapist will touch intimate areas”

  2. When “What are we waxing today?” includes “Legs”

    shows “Varicose veins or phlebitis on your legs?”

  3. When “Any allergies, including to wax, resin, pine or latex?” is Yes

    shows “What are you allergic to?”

  4. When “Are you under 18?” is Yes

    shows “Parent or guardian’s name”

  5. When “Have you taken Accutane (isotretinoin) in the last 6 months?” is Yes

    shows the “We can’t wax you just yet” ending

  6. When a Yes to a skin question

    shows the “Thanks Chloe, we’ll check a few things first” ending

Make it yours

  1. 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.

  2. Match your aftercare

    Edit the aftercare line to your own rules, and link your aftercare page on each thank-you screen.

  3. Use your own waiting period

    Salons 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.

Can I make my own waxing consent form?

Yes: it is your salon’s own screening and consent record, not a medical record. Start here and change the questions to fit your services.

Which form do you need?

Not quite the job? One of these may fit, or browse all release and consent forms.

Start with the waxing consent form template

Add your aftercare link and send it with every first booking.

Use this template

By , founder of PulseFormCreator. Updated 23 Sep 2026.