About this template
A Permanent Makeup Client Intake Form is an essential tool for beauty studios, microblading technicians, and aesthetic clinics specializing in cosmetic tattooing. Before performing procedures such as microblading, lip blushing, or eyeliner tattooing, professionals must understand a client's aesthetic goals, stylistic preferences, and complete medical background. Certain medications, skin conditions, or underlying health issues can impact pigment retention or healing times, making thorough pre-procedure screening vital for client safety and optimal results.
This intake form streamlines the consultation process by gathering key personal details, emergency contact info, requested cosmetic procedures, current skincare regimens, and relevant medical history in one organized place. By capturing this data digitally before the appointment, technicians can review potential contraindications ahead of time, tailor their technique to individual skin types, and maintain clean professional records. Utilizing Doc2Form allows beauty professionals to instantly deploy this intake template as a Google Form, sending it directly to clients via a simple link for seamless pre-appointment preparation.
Key features
- Collect complete medical history and skin condition statuses prior to appointments.
- Streamline pre-procedure consultations for microblading and cosmetic tattooing.
- Capture emergency contact details and client preferences in a single step.
- Eliminate clipboards and paper clutter with instant mobile-friendly digital intake.
- Review client responses seamlessly inside your Google Workspace.
Use cases
- Microblading and brow tattooing client consultations
- Lip blushing and permanent eyeliner pre-treatment screenings
- Medical aesthetics and cosmetic clinic patient onboarding
- Freelance makeup artist beauty and allergy profiling
What this form collects
- Today's Date (Date)Select today's date.
- Full Name (Short answer)Enter your first and last name.
- Birthdate (Date)Enter your date of birth to verify age requirements.
- Email Address (Short answer)We will use this to send appointment confirmations and aftercare instructions.
- Phone Number (Short answer)Enter your primary mobile number.
- 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.
- Requested Procedures (Checkboxes)Select all permanent makeup procedures you are interested in receiving.
- Makeup Type Preferences (Paragraph)Describe your preferred look (e.g., natural hair strokes, bold makeup look, soft shading).
- Medical Conditions Status (Paragraph)Do you have any medical conditions such as diabetes, bleeding disorders, keloid scarring, or allergies?
- Prior Procedures Status (Multiple choice)Have you ever had permanent makeup or cosmetic tattooing on the treatment area before?
- Current Medications (Paragraph)List any prescription medications, blood thinners, acne treatments (like Accutane), or herbal supplements you currently take.
- Client Signature (Paragraph)Please paste a link to your signed consent document or type your full legal name to acknowledge that all provided medical information is accurate.
FAQ
What is a permanent makeup client intake form?
It is a pre-appointment questionnaire used by cosmetic tattoo artists and salons to gather essential client health information, skin sensitivities, and procedure preferences before starting any treatment.
Why is medical history important for permanent makeup?
Certain skin conditions, blood thinners, healing disorders, or medications can affect how pigment heals and settles, making advance knowledge of medical history critical for safety and best results.
Can I customize this template with my own clinic's questions?
Yes! Once you generate this template into your Google account, you can freely edit, add, or remove any questions to fit your specific studio guidelines.
How do clients fill out this form before their appointment?
You can easily share the Google Form link via email or text message when confirming their booking, allowing them to complete it conveniently from their phone or computer.
Where are client submissions stored?
All client responses are saved securely in a linked Google Sheet associated with your Google Form, giving you easy access to client records whenever needed.
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.