About this template
Running a permanent makeup studio requires meticulous record-keeping and thorough health screenings to ensure client safety and liability protection. This Microbeauty Studio PMU Google Form Template is designed specifically for permanent makeup artists, microblading technicians, and cosmetic tattoo studios to capture essential client information prior to appointments.
The form streamlines your intake process by collecting client contact details, emergency contacts, and critical medical history—including medication use, pregnancy status, recent botox, and existing medical conditions that could impact pigment retention or healing. It also features standard liability and consent agreements to protect your studio.
By moving your client paperwork online with Doc2Form, you save valuable time during appointments, eliminate messy paper files, and ensure clients review important pre-procedure guidelines ahead of time. It provides a seamless, professional digital onboarding experience that elevates your brand from the very first interaction.
Key features
- Screen for critical health conditions and contraindications securely.
- Collect mandatory client signatures and agreement to studio policies.
- Streamline pre-appointment paperwork before clients arrive at the studio.
- Easily access emergency contact details for every procedure.
- Replace paper intake clipboards with a fast, mobile-friendly digital form.
Use cases
- Microblading and powder brow initial appointments
- Lip blush and eyeliner permanent makeup consultations
- Annual touch-up and color boost sessions
- Studio policy and liability waiver acknowledgments
What this form collects
- Full Name (Short answer)Enter your first and last name as it appears on your government-issued ID.
- Gender (Dropdown)Select how you identify.
- Phone Number (Short answer)Enter your primary mobile number for appointment reminders.
- Email Address (Short answer)Where we can send your appointment confirmation and pre-care instructions.
- Home Address (Paragraph)Enter your street address, city, state, and ZIP code.
- Emergency Contact Full Name (Short answer)Name of someone we can reach in case of an emergency during your visit.
- Emergency Contact Phone Number (Short answer)Direct phone number for your emergency contact.
- Medical History & Conditions (Checkboxes)Check any conditions that apply to you currently or in the past.
- Do you wear contact lenses? (Multiple choice)Especially relevant if you are receiving eyeliner tattooing.
- Are you currently pregnant or breastfeeding? (Multiple choice)Permanent makeup is not performed during pregnancy or while breastfeeding for safety reasons.
- Are you under 18 years of age? (Multiple choice)Clients must be at least 18 years old to receive permanent makeup services.
- Have you had forehead or brow Botox within the last 4 weeks? (Multiple choice)Recent facial injections can temporarily alter facial symmetry and brow positioning.
- Current Medications & Skincare Products (Paragraph)List any blood thinners, acne medications (like Accutane), retinoids, or topical acids you currently use.
- Client Signature (Short answer)By typing your full name below, you confirm that all medical disclosures are accurate and that you consent to the procedure.
- Signing Date (Date)Enter today's date.
FAQ
What is a PMU consent and intake form?
It is a pre-treatment questionnaire that collects client contact details, medical history, and liability acknowledgments to ensure the client is a safe candidate for permanent makeup.
Why do I need to collect medical history before a permanent makeup procedure?
Certain medications, skin conditions, and medical statuses like pregnancy or recent botox can affect how skin heals and how pigments are retained, making health screening essential for safety and results.
Can I customize the questions on this Google Form template?
Yes! Once you generate the form with Doc2Form, you have full control in Google Forms to add, remove, or edit any questions to match your studio's specific requirements.
How do clients sign the digital form?
Clients can type their full name and submit the form as digital confirmation, or you can add a signature field question type depending on your studio workflow.
Can clients fill out this form on their mobile phones?
Absolutely. Google Forms are fully responsive, allowing your clients to complete their intake paperwork easily from their smartphones before arriving at your studio.
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.