About this template
This comprehensive Microblading and Ombre Brow Treatment Form is designed for beauty professionals to streamline their pre-appointment intake process. By gathering essential information before the client arrives, you can ensure the procedure is safe, manage expectations, and identify any contraindications that might require a doctor's clearance or rescheduling. This template covers everything from basic contact details and medical history to specific allergy disclosures and procedure risks.
Using a digital intake form helps you maintain a professional standard of care while protecting your business. It ensures that every client has acknowledged the risks associated with semi-permanent makeup and has provided informed consent for topical anesthetics. With Doc2Form, you can easily deploy this form to your clients via email or text, allowing them to complete the necessary paperwork at their convenience before their scheduled session.
Key features
- Collect detailed medical history and medication logs.
- Secure informed consent for microblading and ombre procedures.
- Request pre-treatment photos for brow mapping.
- Ensure legal compliance with clear risk acknowledgement sections.
- Mobile-friendly design for easy client completion.
Use cases
- New client onboarding for permanent makeup studios.
- Pre-screening for potential allergic reactions or contraindications.
- Documenting informed consent for topical anesthetic application.
- Collecting pre-procedure brow photos for artist preparation.
What this form collects
- Full Name (Short answer)Please enter your full legal name.
- Email Address (Short answer)We will use this to send your appointment confirmation and aftercare instructions.
- Mobile Phone Number (Short answer)Best number to reach you for appointment reminders.
- Link to Front View Photo (Paragraph)A close-up, clear photo of both brows.
- Link to Full Facial Photo (Paragraph)A clear, well-lit photo of your full face.
- Are you currently taking any medications? (Paragraph)List any medications taken in the last 6 months.
- Do you have any known allergies? (Paragraph)Please list any allergies, especially to pigments, latex, or topical anesthetics.
- Medical Conditions Status (Multiple choice)Have you been diagnosed with any medical conditions we should be aware of?
- Risk Statement Acknowledgement (Multiple choice)I understand the risks associated with semi-permanent makeup, including infection, scarring, and allergic reactions.
- Topical Anaesthetic Consent (Multiple choice)I consent to the application of topical anaesthetic to minimize discomfort during the procedure.
FAQ
Why should I use a digital consent form for microblading?
A digital form ensures you have a timestamped, organized record of client consent and medical disclosures, reducing paperwork and helping you identify potential issues well before the appointment date.
Can I add my own studio's specific policies to this form?
Yes, once you use Doc2Form to create your Google Form, you can easily edit, add, or remove questions within the Google Forms editor to reflect your specific studio policies.
How do I handle the photo upload requirement?
Since Google Forms does not support native file uploads, we have included text fields where clients can paste links to photos stored in their own cloud storage (like Google Drive or Dropbox).
Is this form suitable for ombre brow procedures as well?
Yes, this template is specifically designed to cover both microblading and ombre brow techniques, as they share similar contraindications and consent requirements.
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.