Body Waxing Consultation/Consent Form | Beauty Forms Portal

Body Waxing Consultation and Consent Form

Client Details

Full Name: *

Date of Birth: *

Contact Number: *

Email: *

Medical Information

Are you currently taking any medication? *

Please list: *

Do you have any allergies? *

Please list: *

Do you have any medical conditions? *

Please list: *

Please indicate if you are currently, or have in the past 12 months, used any of the following. Please tick all that apply.

If you have ticked any of the above, please give more detail (including date last used):

Have you recently been unwell? *

Which of the following were you unwell with? *

Please provide more detail: *

Emergency Contact Details

Emergency Contact Name: *

Emergency Contact Relationship: *

Emergency Contact Phone: *

General Information

Are you exposed to the sun on a daily basis or are you considering spending more time in the sun soon? *

Do you use a tanning bed? *

What skin products do you regularly use on your skin? *

Female Clients Only

When is your next menstrual cycle due to begin?

Always allow five days for menstrual cycle. Because of water retention and for your own personal comfort, you should avoid hair removal two days before your cycle is due and two days after it is completed.

Waxing

Area(s) to be waxed:

Aftercare Advice

Thank you for choosing us for your waxing service. Please follow the guidelines below to ensure your skin is cared for properly over the next few days.

Please note: some slight soreness, small bumps and redness are common and perfectly normal temporary reactions, particularly if this is your first wax. These symptoms should subside over the next 24-48 hours. If you experience persistent redness or irritation, or if you have any questions, please do not hesitate to contact us.

Keep the waxed area clean, and avoid heat and friction during the next 24-48 hours. This means:

• No hot baths or showers (cool to lukewarm water only).
• No saunas, hot tubs or steam treatments.
• No tanning (sunbathing, sunbeds or fake tans).
• No sport, gym work or other exercise.
• Avoid scratching or touching the treated area with unwashed hands.
• Wear clean, loose fitting clothes.
• Avoid swimming in chlorinated pools.
• Do not apply deodorants, body sprays, powders, lotions or other products to the area, other than those recommended by your therapist.
• To soothe and protect the skin, apply an antiseptic cream to the waxed area regularly for 3 days following your treatment. Always wash your hands before applying any product.

To prevent ingrown hairs: starting a few days after your appointment, gently scrub the skin 3 times a week in the bath or shower using a loofah or exfoliating mitt. Also moisturise the area every day, which will keep the skin supple and help new hairs to grow through normally.

You may notice a small amount of regrowth after a week or so. It can take up to 4 treatments for your hair to get on a growth cycle that gives best results. Hair needs to be at least ½ cm long before it can be successfully removed by waxing; please do not shave between your appointments. To maintain your smooth appearance, we recommend regular waxing every 4-6 weeks.

Please tick the box to confirm: *

I have read and understood the aftercare advice provided.

Consent

Please read the following information carefully.

I accept that any treatment I receive is at my own risk.
I certify that I have read and fully understood and completed this form to the best of my knowledge.
I understand that failure to disclose information requested above may result in adverse side effect(s) from treatment(s) received and therefore I accept full liability/responsibility for the information given.
The treatment(s) and possible side effect(s) have been fully explained to me.
I accept full responsibility for the treatment given and complications which may arise or result during or following any procedure that is performed at my request.
I accept that if I am not satisfied with the treatment I will inform the therapist and/or request to speak to the manager during or immediately following the treatment.
I fully understand the above and consent to receive the treatment.

Client Signature: *

Tap or click on the signature above to sign