About this template
The Henna Brow Consent Form is an essential document for brow artists, estheticians, and salon owners offering henna eyebrow tinting and styling treatments. Even though henna brows are a non-invasive and semi-permanent procedure, securing informed client consent is critical for ensuring client safety, managing expectations, and documenting acknowledgment of potential risks or sensitivities.
This comprehensive form template collects vital client information, including personal contact details, skin type, previous henna or tinting experience, and critical allergy history. By capturing medical and skin background prior to the appointment, technicians can spot potential contraindications and avoid adverse reactions. The template also features sections for parental consent for minor clients, acknowledgment of treatment terms, and digital signature capture to ensure full liability protection for your salon business.
Built to streamline your pre-treatment workflow, this Google Form template can be quickly customized and sent to clients via email or text before they arrive. It ensures you have all necessary intake data documented neatly in a secure spreadsheet, allowing you to focus on delivering a flawless client experience.
Key features
- Collect detailed skin type and allergy histories before appointments
- Document client agreement to aftercare and treatment terms
- Include parental consent fields for minor clients
- Fully mobile-responsive for easy completion on smartphones or tablets
- Instantly organize responses in a secure Google Sheets spreadsheet
Use cases
- Pre-appointment screening for new eyebrow styling clients
- Documenting patch test results and allergy disclosures
- Securing legal consent and liability release for brow treatments
- Gathering guardian authorization for underage clients
What this form collects
- Client Full Name (Short answer)Enter your first and last name.
- Date of Birth (Date)Enter your date of birth (MM/DD/YYYY).
- Age (Short answer)Enter your current age in years.
- Phone Number (Short answer)Enter your best contact number for appointment updates.
- Email Address (Short answer)Enter your email for appointment confirmations and aftercare instructions.
- Home Address (Paragraph)Enter your street address, city, and postal code.
- Appointment Date (Date)Select the scheduled date of your brow treatment.
- Skin Type (Dropdown)Select the option that best describes your facial skin type.
- Is this your first time receiving a henna brow treatment? (Multiple choice)Let us know if you are new to henna brow services.
- Do you have any known allergies or sensitivities? (Checkboxes)Select any known allergies, particularly to hair dyes, henna, nuts, or latex.
- Allergy Details (Paragraph)If you selected any allergies above, please provide details on your past reactions.
- Parent/Guardian Full Name (Short answer)Enter the full name of the parent or legal guardian.
- Parent/Guardian Phone Number (Short answer)Enter the contact phone number for the parent or guardian.
- Terms and Conditions Acceptance (Checkboxes)I confirm that the information provided is accurate, I understand the henna brow procedure, and I release the technician from liability for undisclosed conditions.
- Client Signature (Short answer)Please paste a link to your digital signature image or type your full legal name as an electronic signature.
- Signature Date (Date)Enter today's date.
FAQ
How can I share this consent form with my clients?
You can easily share the Google Form link via email, SMS appointment reminders, or by placing a QR code at your salon reception desk for clients to scan on their phones.
Can I customize the questions for other beauty treatments?
Yes! You can fully edit, add, or remove any questions in Google Forms to adapt this template for lash lifts, microblading, waxing, or facial treatments.
Is a digital signature legally binding?
While requirements vary by region, including a typed legal name, date, and explicit agreement checkboxes provides a clear record of client acknowledgment and consent.
Where are my client submissions stored?
All form submissions are automatically saved to a secure Google Sheets spreadsheet associated with your Google account, making client records easy to search and review.
Can I require clients to fill this out before arriving?
Definitely. Sending the form link in your booking confirmation email ensures clients complete their medical history and consent before they step into your salon.
Get this form in your Google Drive
Save a copy to your Google Drive with one click (uses 1 credit). Or build from a PDF or description in the app.