Elena G Beauty

Waxing Intake + Consent Form

To provide the safest and most personalized waxing experience, please complete this form prior to your appointment.
Personal Information
Name

First NameLast Name
Phone Number
Format: (000) 000-0000.
Email
example@example.com
How did you hear about Elena G Beauty?

Other
Who may I thank for referring you?
Age Confirmation
Please confirm one of the following:
Service Selection
What waxing service are you receiving today?
Skin Products + Medication Considerations
Are you currently using any skincare products or medications that may make your skin more sensitive to waxing?
If checked above, when was your last use?

Other
If an active product/medication is selected- please list
Health Considerations
Please check any that currently apply:
If applicable, please provide details
Client Notes (Optional)
Is there anything you'd like me to know before your appointment?
Photography + Media Consent

To document treatment results and support business marketing, photos/videos may occasionally be taken before, during, or after service.
Please select your preference:
Consent + Policies
Treatment Consent
I understand waxing services may result in temporary redness, tenderness, sensitivity, irritation, ingrown hairs, or other skin reactions. I confirm that the information provided on this form is accurate to the best of my knowledge and understand that withholding relevant health or skincare information may increase the risk of adverse reactions. I understand that certain products, medications, skin conditions, or recent treatments may make waxing unsuitable or require service modification. I consent to the waxing service discussed with my esthetician.
Aftercare Acknowledgment
I understand that following recommended aftercare instructions—including avoiding heat, friction, exfoliation, tanning, pools, or other activities as advised—helps minimize irritation and support optimal results.
Appointment Policy
I understand cancellations or rescheduling require advance notice, and late arrivals may require service modification or rescheduling.
Date

MonthDayYear
Date
e-Signature
Should be Empty:

Waxing Intake + Consent Form

Personal Information

Age Confirmation

Service Selection

Skin Products + Medication Considerations

Health Considerations

Client Notes (Optional)

Photography + Media Consent

Consent + Policies