Waxing Consent and Consultation Form 🌸✨
Please provide your details and review the consent information for your waxing appointment.
Full Name
*
First Name
Last Name
Email Address
example@example.com
Have you ever had a waxing treatment before?
*
Yes
No
Which waxing services are you looking to get done ?
*
Eyebrows
Lip
Chin
Underarms
Arms
Legs
Bikini
Other
Do you have any allergies (including to wax, latex, or skincare products)?
*
Yes
No
If yes, please specify your allergies.
Are you currently taking any medications (including topical creams or antibiotics or on acutane)?
*
Yes
No
If yes, please list your medications.
Do you have any skin conditions (e.g., eczema, psoriasis, recent sunburn, open wounds)?
*
Yes
No
If yes, please describe your skin condition.
Is there anything else we should know about your health or skin before your waxing treatment?
Consent and Acknowledgment
*
Signature
*
Date
*
 -
Month
 -
Day
Year
Date
Submit
Submit
Should be Empty: