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Waxing consent form template

A waxing consent and intake form for wax studios and estheticians. It catches the things that make waxing unsafe, like retinoids, Accutane and recent sunburn, before the wax is warm.

Waxing consent form

Contact details

Full name

Phone

Email

Date of birth

Address

Your appointment

Area(s) to be waxed

Is this your first wax with us?

YesNo

Is your hair about 1/4 inch (roughly 2 to 3 weeks of growth)?

YesNo

Before we start

Are you using any of these?

Retinoids / retinolAccutane (isotretinoin) in the last 6 monthsExfoliating acids (AHA / BHA)Antibiotics or blood thinners

In the last week, have you had any of these?

SunburnChemical peelLaser hair removalTanning

Skin conditions or sensitivities in the area

Consent

I have answered the questions above accurately. I understand that waxing can cause temporary redness, ingrown hairs and, rarely, skin lifting, especially on skin treated with retinoids or acids.

I agree to follow the aftercare instructions I have been given.

Signature

Date

Sections

Choose “Save as PDF” in the print dialog to download. Nothing you type leaves your browser.

Use it on your website

Put the short version online. AI calls them back in 60 seconds.

Long forms on a phone get abandoned. With RingOwl, your website asks three questions. If the visitor ticks “call me back”, your AI calls within a minute, asks the rest of this form, books the appointment and saves a complete record, with their consent on file.

Test the callback in your browser during the trial. Phone callbacks need a paid plan (US, Canada, UK, Australia and India numbers).

On your website

  • Full name
  • Phone
  • Which area(s) would you like waxed?
  • “Call me back within a minute” box

Asked on the AI callback

  • First time being waxed with us?
  • Using retinoids, Accutane or exfoliating acids right now?
  • Sunburn, peel, laser or tanning in the last week?
  • Hair about a quarter inch long?
  • Preferred day and time

How to get the most out of a waxing consent form

Screen for retinoids and Accutane at booking
Skin on these products can lift when waxed. Finding out at booking avoids cancelling in the room.
Tell first-timers the hair length
About a quarter inch, roughly two to three weeks of growth. It's the most common reason a first wax doesn't go well.
Review the wording for your state
This is a starting template, not legal advice.

Waxing consent form FAQ

  • Why do I need a waxing consent form?+

    It documents that the client disclosed the things that make waxing risky, like retinoids, Accutane, recent sunburn or peels, and agreed to the treatment and aftercare.

  • What should a waxing consent form ask?+

    The areas to be waxed, retinoid, Accutane and acid use, antibiotics or blood thinners, recent sunburn, peels, laser or tanning, skin conditions, and a signed consent.

  • Can you wax if you're using retinol?+

    Retinol and other retinoids thin the skin and can make it lift during waxing, especially on the face. Your esthetician will usually ask you to stop for a period first; follow their advice.

  • Is this waxing consent form free?+

    Yes. Print it, save it as a PDF or copy the questions.

The consent wording on this template is a starting point, not legal advice. Have it reviewed for your state, your licensing board and your insurer.

More free intake form templates