About this template
Preparing for semi-permanent brow procedures like microblading or powder brows requires a thorough health screening and client consultation. This semi-permanent brows consultation form helps brow artists, estheticians, and salon owners gather vital health histories, skin sensitivities, and treatment contraindications before any procedure begins. By screening for recent sun exposure, active skin treatments, medications, and medical conditions, you ensure both client safety and optimal healing results.
Designed specifically for beauty professionals who want to eliminate clipboard clutter, this template streamlines your pre-procedure workflow. It collects complete client contact details, comprehensive skin and medical background checks, and digital acknowledgments of studio policies and treatment consents. With Doc2Form, you can instantly turn this template into a ready-to-share Google Form, allowing clients to complete their intake paperwork seamlessly from their phones before arriving at the studio.
Key features
- Screen clients for skin conditions, medications, and contraindications instantly.
- Collect digital consent and policy acknowledgments before appointments.
- Identify recent cosmetic treatments like Botox, fillers, or chemical peels.
- Seamlessly access client responses and medical notes right from your Google Drive.
Use cases
- Pre-appointment screening for microblading and ombre brow clients.
- Collecting liability waivers and studio policy agreements.
- Assessing skin sensitivity and contraindications for permanent makeup.
- Maintaining organized client intake records for boutique beauty salons.
What this form collects
- Full Legal Name (Short answer)Enter your first and last name.
- Date of Birth (Date)Please use the format MM/DD/YYYY.
- Phone Number (Short answer)We will use this to send appointment reminders.
- Email Address (Short answer)Where we can send pre-care instructions and confirmation.
- Home Address (Paragraph)Street address, city, province/state, and postal code.
- Occupation (Short answer)Optional — helps us understand your daily environment.
- Are you currently pregnant or breastfeeding? (Multiple choice)Semi-permanent cosmetics are not performed during pregnancy or nursing.
- Do you have any known allergies or sensitivities? (Paragraph)List any reactions to pigments, latex, anesthetics, or topical numbing creams.
- Current Medications & Medical Conditions (Paragraph)List any prescription medications, blood thinners, or chronic medical conditions you manage.
- Do you have a history of any of the following conditions? (Checkboxes)Select all that apply to your current health status.
- Have you had Botox or facial fillers in the last 4 weeks? (Multiple choice)Injections near the forehead or brow bone can affect facial symmetry.
- Have you used chemical peels, retinoids, or exfoliating acids recently? (Multiple choice)Products like Retin-A or AHAs must be avoided near the brow area prior to treatment.
- Recent Sun Exposure or Sunburn (Short answer)Describe any heavy sun exposure or sunburn on your face within the last 2 weeks.
- Policy Acknowledgment Initials (Short answer)Type your initials to confirm you have read and agree to our studio cancellation and rescheduling policies.
- Digital Signature (Short answer)Type your full legal name here to certify that all information provided is accurate and complete.
- Signature Date (Date)Today's date.
FAQ
How do I use this template with my clients?
With Doc2Form, you can instantly generate a fully functional Google Form from this template. Simply share the link via email or text so clients can complete their consultation before arriving.
Why is a skin and health history required for brow procedures?
Procedures like microblading break the skin barrier. Screening for medications, recent chemical peels, and medical conditions helps prevent poor pigment retention and adverse healing reactions.
Can I customize the questions on this form?
Yes! Once the template is in your Google account, you can freely add, remove, or edit any questions to match your specific studio policies and procedures.
How are digital signatures and consents handled?
This form collects typed legal names and date stamps as a record of client acknowledgment, along with confirmation that they have read and understood your studio policies.
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.