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
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)

Have you been waxed before? (required)

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
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?
2026-09-22T09:41:00.000ZChloe NguyenNo+61412555690chloe.nguyen@example.comBrows | 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.

  1. Accutane (isotretinoin) 13 of 14 (13 of 14 forms)
  2. Name 13 of 14 (13 of 14 forms)
  3. Signature 12 of 14 (12 of 14 forms)
  4. Retinoid creams 12 of 14 (12 of 14 forms)
  5. Allergies 11 of 14 (11 of 14 forms)
  6. Acids, scrubs or peels 11 of 14 (11 of 14 forms)
  7. Diabetes 10 of 14 (10 of 14 forms)
  8. Email address 10 of 14 (10 of 14 forms)
  9. Phone number 10 of 14 (10 of 14 forms)
  10. Releases the salon 10 of 14 (10 of 14 forms)
  11. Tanning bed or booth use 10 of 14 (10 of 14 forms)
  12. Ingrown hairs, bumps or bruising 9 of 14 (9 of 14 forms)
The 14 forms we read
  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?” is Bikini or Brazilian

    shows “A note”

  2. When “What are we waxing today?” is 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) or a similar acne tablet in the last 6 months?” is Yes

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

  6. 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

  7. 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

  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. Know before they arrive

    Turn on Email me in the Connect tab, so a retinoid or Accutane Yes reaches the therapist before the appointment.

  3. 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.

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.