About this template
Protect your clients and ensure safe, customized treatments by using this comprehensive salon client health check-in form. Designed specifically for hair stylists, estheticians, salon owners, and spa managers, this template helps you gather crucial medical history, current medications, skincare product usage (such as retinoids or acne treatments), and known allergies before any chemical service, facial, or wax.
Collecting this information in advance prevents adverse reactions, tailors treatments to individual needs, and establishes clear professional boundaries. Clients can easily complete the form on their phone or computer before arriving, streamlining your front desk check-in process and eliminating the clutter of paper clipboards.
With Doc2Form, you can instantly turn this structured health check-in into a live Google Form, making it effortless to organize responses in Google Sheets and review client notes right from your workspace. Keep your salon running safely, professionally, and smoothly with an intake workflow your clients will appreciate.
Key features
- Screen for skin sensitivities, medications, and allergies instantly.
- Mobile-friendly format for quick client completion before appointments.
- Automatically organize client health responses in Google Sheets.
- Reduce liability with clear pre-treatment disclosures and acknowledgments.
- Eliminate paper clipboards for a cleaner, contactless check-in.
Use cases
Pre-appointment screening for chemical peels, waxing, and specialized…
Pre-appointment screening for chemical peels, waxing, and specialized facials.
New client onboarding at high-end hair salons and day spas.
Tracking medical updates and skincare changes for regular beauty clie…
Tracking medical updates and skincare changes for regular beauty clients.
Maintaining accurate pre-service consultation records for insurance p…
Maintaining accurate pre-service consultation records for insurance purposes.
What this form collects
- Full Name (Short answer)Enter your first and last name.
- Date of Appointment (Date)Select the date of your upcoming visit.
- Are you currently taking any prescription medications? (Multiple choice)Certain medications can react negatively to waxing, chemical peels, or tinting.
- Please list any prescription medications you are taking (Paragraph)If none, please write 'N/A'.
- Are you currently using any Vitamin A derivatives (Retin-A, Retinol, Tretinoin, Accutane)? (Multiple choice)These ingredients thin the skin and affect facial waxing and exfoliation safety.
- Do you have any known allergies? (Paragraph)Include allergies to latex, fragrances, nuts, adhesives, or specific hair dyes.
- Are you currently experiencing any skin rashes, irritation, or open wounds in the treatment area? (Multiple choice)Select your current symptom status.
- Disclosure & Liability Acceptance (Multiple choice)I confirm that the information provided above is accurate and complete to the best of my knowledge. I understand that withholding health information may increase the risk of adverse reactions.
- Client Signature (Short answer)Please type your full legal name as an electronic signature.
FAQ
How do I share this health check-in form with my clients?
Once Doc2Form generates your Google Form, you can easily copy the link, send it via email or text appointment reminders, or add a QR code at your salon reception desk.
Can I customize the questions to fit specific treatments?
Yes! Because the template lives in your Google Drive, you can edit, add, or remove any questions using the standard Google Forms editor.
Is this form suitable for medical spas and estheticians?
Absolutely. It includes targeted fields for vitamin A derivatives, prescription medications, and active acne treatments that are vital for advanced skincare safety.
Where are the client responses stored?
All submissions are saved securely in your Google account and can be viewed instantly in an associated Google Sheet for easy reference before appointments.
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.