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<!DOCTYPE html> <html dir="ltr" lang="en-US" prefix="og: https://ogp.me/ns#"> <head> <meta charset="UTF-8"> <title>Esthetician Facial Consent Form Template</title>  <meta name="description" content="Use this form to get client consent that authorizes the esthetician to perform various skin care treatments for the face." /> <meta name="robots" content="max-image-preview:large" /> <link rel="canonical" href="https://wpforms.com/templates/esthetician-facial-consent-form-template/" /> <meta name="generator" content="All in One SEO Pro (AIOSEO) 4.7.0" /> <meta property="og:locale" content="en_US" /> <meta property="og:site_name" content="WPForms Form Template Gallery" /> <meta property="og:type" content="article" /> <meta property="og:title" content="Esthetician Facial Consent Form Template" /> <meta property="og:description" content="Use this form to get client consent that authorizes the esthetician to perform various skin care treatments for the face." /> <meta property="og:url" content="https://wpforms.com/templates/esthetician-facial-consent-form-template/" /> <meta property="og:image" content="https://wpforms.com/templates/wp-content/uploads/2021/05/opengraph-02092021.png" /> <meta property="og:image:secure_url" content="https://wpforms.com/templates/wp-content/uploads/2021/05/opengraph-02092021.png" /> <meta property="og:image:width" content="2500" /> <meta property="og:image:height" content="1407" /> <meta property="article:published_time" content="2022-09-09T10:34:51+00:00" /> <meta property="article:modified_time" content="2023-09-19T21:11:04+00:00" /> <meta property="article:publisher" content="https://facebook.com/wpforms" /> <meta name="twitter:card" content="summary_large_image" /> <meta name="twitter:site" content="@easywpforms" /> <meta name="twitter:title" content="Esthetician Facial Consent Form Template" /> <meta name="twitter:description" content="Use this form to get client consent that authorizes the esthetician to perform various skin care treatments for the face." /> <meta name="twitter:creator" content="@easywpforms" /> <meta name="twitter:image" content="https://wpforms.com/templates/wp-content/uploads/2021/05/opengraph-02092021.png" /> <meta name="twitter:label1" content="Written by" /> <meta name="twitter:data1" content="Sampada Ghimire" /> <meta name="twitter:label2" content="Est. reading time" /> <meta name="twitter:data2" content="2 minutes" /> <script type="application/ld+json" class="aioseo-schema"> {"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/wpforms.com\/templates\/esthetician-facial-consent-form-template\/aioseo-article-63b46308484e3","name":"Esthetician Facial Consent Form Template","headline":"Esthetician Facial Consent Form Template","description":"Use this form to get client consent for an esthetician to perform various skin care treatments on their face.","author":{"@type":"Person","name":"Sampada Ghimire","url":"https:\/\/wpforms.com\/templates\/author\/sghimireawesomemotive-com\/"},"publisher":{"@id":"https:\/\/wpforms.com\/templates\/#organization"},"image":{"@type":"ImageObject","url":"https:\/\/wpforms.com\/templates\/wp-content\/uploads\/2021\/05\/wpformslogo.png","@id":"https:\/\/wpforms.com\/templates\/#articleImage","width":549,"height":163},"datePublished":"2022-09-09T06:34:51-04:00","dateModified":"2023-09-19T17:11:04-04:00","inLanguage":"en-US","articleSection":"Customer Service, Health & Wellness, Elite, Pro"},{"@type":"BreadcrumbList","@id":"https:\/\/wpforms.com\/templates\/esthetician-facial-consent-form-template\/#breadcrumblist","itemListElement":[{"@type":"ListItem","@id":"https:\/\/wpforms.com\/templates\/#listItem","position":1,"name":"Home","item":"https:\/\/wpforms.com\/templates\/","nextItem":"https:\/\/wpforms.com\/templates\/esthetician-facial-consent-form-template\/#listItem"},{"@type":"ListItem","@id":"https:\/\/wpforms.com\/templates\/esthetician-facial-consent-form-template\/#listItem","position":2,"name":"Esthetician Facial Consent Form Template","previousItem":"https:\/\/wpforms.com\/templates\/#listItem"}]},{"@type":"FAQPage","@id":"https:\/\/wpforms.com\/templates\/esthetician-facial-consent-form-template\/#faq","url":"https:\/\/wpforms.com\/templates\/esthetician-facial-consent-form-template\/","mainEntity":[{"@type":"Question","name":"How do I use WPForms form templates?","acceptedAnswer":{"@type":"Answer","text":"Our form templates are super easy to use. 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</header> <a href="https://wpforms.com/pricing/" class="button button-large" data-vars-ga-category="Templates Single" data-vars-ga-action="click" data-vars-ga-label="Use This Template (Bottom)">Use This Template</a> </div> </div> <div class="container single-container"> <div id="primary" class="site-content"> <main id="main" class="site-main" role="main"> <article class="post-3278 post type-post status-publish format-standard hentry category-customer-service category-health-wellness license-elite license-pro"> <div class="entry-content"> <div class="content-wpform-shortcode"> <div> <div class="wpforms-container wpforms-container-full form-template-disabled wpforms-container-save-resume wpforms-render-modern" id="wpforms-3277"><form id="wpforms-form-3277" class="wpforms-validate wpforms-form wpforms-ajax-form" data-formid="3277" method="post" enctype="multipart/form-data" action="/templates/esthetician-facial-consent-form-template/" data-token="9969125cb5337a0c25e7b4d73d30d38d" data-token-time="1732559581"><noscript class="wpforms-error-noscript">Please enable JavaScript in your browser to complete this form.</noscript><div class="wpforms-hidden" id="wpforms-error-noscript">Please enable JavaScript in your browser to complete this form.</div><div class="wpforms-field-container"><div id="wpforms-3277-field_8-container" class="wpforms-field wpforms-field-name" data-field-id="8"><fieldset><legend class="wpforms-field-label">Name <span class="wpforms-required-label" aria-hidden="true">*</span></legend><div class="wpforms-field-row wpforms-field-medium"><div class="wpforms-field-row-block wpforms-first wpforms-one-half"><input type="text" id="wpforms-3277-field_8" class="wpforms-field-name-first wpforms-field-required" name="wpforms[fields][8][first]" aria-errormessage="wpforms-3277-field_8-error" required><label for="wpforms-3277-field_8" class="wpforms-field-sublabel after">First</label></div><div class="wpforms-field-row-block wpforms-one-half"><input type="text" id="wpforms-3277-field_8-last" class="wpforms-field-name-last wpforms-field-required" name="wpforms[fields][8][last]" aria-errormessage="wpforms-3277-field_8-last-error" required><label for="wpforms-3277-field_8-last" class="wpforms-field-sublabel after">Last</label></div></div></fieldset></div><div id="wpforms-3277-field_9-container" class="wpforms-field wpforms-field-phone" data-field-id="9"><label class="wpforms-field-label" for="wpforms-3277-field_9">Phone</label><input type="tel" id="wpforms-3277-field_9" class="wpforms-field-medium wpforms-smart-phone-field" data-rule-smart-phone-field="true" name="wpforms[fields][9]" aria-label="Phone" aria-errormessage="wpforms-3277-field_9-error" ></div><div id="wpforms-3277-field_10-container" class="wpforms-field wpforms-field-email" data-field-id="10"><label class="wpforms-field-label" for="wpforms-3277-field_10">Email <span class="wpforms-required-label" aria-hidden="true">*</span></label><input type="email" id="wpforms-3277-field_10" class="wpforms-field-medium wpforms-field-required" name="wpforms[fields][10]" spellcheck="false" aria-errormessage="wpforms-3277-field_10-error" required></div><div id="wpforms-3277-field_11-container" class="wpforms-field wpforms-field-payment-checkbox wpforms-list-2-columns" data-field-id="11"><fieldset><legend class="wpforms-field-label">Are you experiencing any of the following symptoms today? (Select all that apply)</legend><ul id="wpforms-3277-field_11"><li class="choice-1"><input type="checkbox" id="wpforms-3277-field_11_1" class="wpforms-payment-price" data-amount="0.00" name="wpforms[fields][11][]" value="1" aria-errormessage="wpforms-3277-field_11_1-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_11_1">Headache</label></li><li class="choice-2"><input type="checkbox" id="wpforms-3277-field_11_2" class="wpforms-payment-price" data-amount="0.00" name="wpforms[fields][11][]" value="2" aria-errormessage="wpforms-3277-field_11_2-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_11_2">Inflamation</label></li><li class="choice-3"><input type="checkbox" id="wpforms-3277-field_11_3" class="wpforms-payment-price" data-amount="0.00" name="wpforms[fields][11][]" value="3" aria-errormessage="wpforms-3277-field_11_3-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_11_3">Muscle Cramps</label></li><li class="choice-4"><input type="checkbox" id="wpforms-3277-field_11_4" class="wpforms-payment-price" data-amount="0.00" name="wpforms[fields][11][]" value="4" aria-errormessage="wpforms-3277-field_11_4-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_11_4">Anxiety</label></li><li class="choice-5"><input type="checkbox" id="wpforms-3277-field_11_5" class="wpforms-payment-price" data-amount="0.00" name="wpforms[fields][11][]" value="5" aria-errormessage="wpforms-3277-field_11_5-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_11_5">Fatigue</label></li><li class="choice-6"><input type="checkbox" id="wpforms-3277-field_11_6" class="wpforms-payment-price" data-amount="0.00" name="wpforms[fields][11][]" value="6" aria-errormessage="wpforms-3277-field_11_6-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_11_6">Insomnia</label></li><li class="choice-7"><input type="checkbox" id="wpforms-3277-field_11_7" class="wpforms-payment-price" data-amount="0.00" name="wpforms[fields][11][]" value="7" aria-errormessage="wpforms-3277-field_11_7-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_11_7">Stress</label></li><li class="choice-8"><input type="checkbox" id="wpforms-3277-field_11_8" class="wpforms-payment-price" data-amount="0.00" name="wpforms[fields][11][]" value="8" aria-errormessage="wpforms-3277-field_11_8-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_11_8">Forgetfulness</label></li></ul></fieldset></div><div id="wpforms-3277-field_12-container" class="wpforms-field wpforms-field-checkbox wpforms-list-2-columns" data-field-id="12"><fieldset><legend class="wpforms-field-label">Which aroma(s) do you prefer? (Select all that apply)</legend><ul id="wpforms-3277-field_12"><li class="choice-1 depth-1"><input type="checkbox" id="wpforms-3277-field_12_1" name="wpforms[fields][12][]" value="Lavender" aria-errormessage="wpforms-3277-field_12_1-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_12_1">Lavender</label></li><li class="choice-2 depth-1"><input type="checkbox" id="wpforms-3277-field_12_2" name="wpforms[fields][12][]" value="Citrus" aria-errormessage="wpforms-3277-field_12_2-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_12_2">Citrus</label></li><li class="choice-3 depth-1"><input type="checkbox" id="wpforms-3277-field_12_3" name="wpforms[fields][12][]" value="Geranium" aria-errormessage="wpforms-3277-field_12_3-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_12_3">Geranium</label></li><li class="choice-4 depth-1"><input type="checkbox" id="wpforms-3277-field_12_4" name="wpforms[fields][12][]" value="Peppermint" aria-errormessage="wpforms-3277-field_12_4-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_12_4">Peppermint</label></li><li class="choice-5 depth-1"><input type="checkbox" id="wpforms-3277-field_12_5" name="wpforms[fields][12][]" value="Lemongrass" aria-errormessage="wpforms-3277-field_12_5-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_12_5">Lemongrass</label></li><li class="choice-6 depth-1"><input type="checkbox" id="wpforms-3277-field_12_6" name="wpforms[fields][12][]" value="Patchouli" aria-errormessage="wpforms-3277-field_12_6-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_12_6">Patchouli</label></li><li class="choice-7 depth-1"><input type="checkbox" id="wpforms-3277-field_12_7" name="wpforms[fields][12][]" value="Eucalyptus" aria-errormessage="wpforms-3277-field_12_7-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_12_7">Eucalyptus</label></li></ul></fieldset></div><div id="wpforms-3277-field_14-container" class="wpforms-field wpforms-field-divider" data-field-id="14"><h3 id="wpforms-3277-field_14" aria-errormessage="wpforms-3277-field_14-error">Esthetics Information</h3></div><div id="wpforms-3277-field_30-container" class="wpforms-field wpforms-field-select wpforms-field-select-style-classic" data-field-id="30"><label class="wpforms-field-label" for="wpforms-3277-field_30">What kind of skin do you have?</label><select id="wpforms-3277-field_30" class="wpforms-field-medium" name="wpforms[fields][30]"><option value="Normal" >Normal</option><option value="Oily" >Oily</option><option value="Dry" >Dry</option><option value="Combination" >Combination</option></select></div><div id="wpforms-3277-field_16-container" class="wpforms-field wpforms-field-checkbox wpforms-list-2-columns wpforms-conditional-trigger" data-field-id="16"><fieldset><legend class="wpforms-field-label">What areas of concern do you have regarding your skin?</legend><ul id="wpforms-3277-field_16"><li class="choice-1 depth-1"><input type="checkbox" id="wpforms-3277-field_16_1" name="wpforms[fields][16][]" value="Breakouts/Acne" aria-errormessage="wpforms-3277-field_16_1-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_16_1">Breakouts/Acne</label></li><li class="choice-2 depth-1"><input type="checkbox" id="wpforms-3277-field_16_2" name="wpforms[fields][16][]" value="Blackheads/Whiteheads" aria-errormessage="wpforms-3277-field_16_2-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_16_2">Blackheads/Whiteheads</label></li><li class="choice-3 depth-1"><input type="checkbox" id="wpforms-3277-field_16_3" name="wpforms[fields][16][]" value="Uneven Skin Tone" aria-errormessage="wpforms-3277-field_16_3-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_16_3">Uneven Skin Tone</label></li><li class="choice-4 depth-1"><input type="checkbox" id="wpforms-3277-field_16_4" name="wpforms[fields][16][]" value="Sun Damage" aria-errormessage="wpforms-3277-field_16_4-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_16_4">Sun Damage</label></li><li class="choice-5 depth-1"><input type="checkbox" id="wpforms-3277-field_16_5" name="wpforms[fields][16][]" value="Excessive Oil/Shine" aria-errormessage="wpforms-3277-field_16_5-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_16_5">Excessive Oil/Shine</label></li><li class="choice-6 depth-1"><input type="checkbox" id="wpforms-3277-field_16_6" name="wpforms[fields][16][]" value="Wrinkles/Fine Lines" aria-errormessage="wpforms-3277-field_16_6-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_16_6">Wrinkles/Fine Lines</label></li><li class="choice-7 depth-1"><input type="checkbox" id="wpforms-3277-field_16_7" name="wpforms[fields][16][]" value="Dull/Dry Skin" aria-errormessage="wpforms-3277-field_16_7-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_16_7">Dull/Dry Skin</label></li><li class="choice-8 depth-1"><input type="checkbox" id="wpforms-3277-field_16_8" name="wpforms[fields][16][]" value="Rosacea" aria-errormessage="wpforms-3277-field_16_8-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_16_8">Rosacea</label></li><li class="choice-9 depth-1"><input type="checkbox" id="wpforms-3277-field_16_9" name="wpforms[fields][16][]" value="Broken Capillaries" aria-errormessage="wpforms-3277-field_16_9-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_16_9">Broken Capillaries</label></li><li class="choice-10 depth-1"><input type="checkbox" id="wpforms-3277-field_16_10" name="wpforms[fields][16][]" value="Redness/Ruddiness" aria-errormessage="wpforms-3277-field_16_10-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_16_10">Redness/Ruddiness</label></li><li class="choice-11 depth-1"><input type="checkbox" id="wpforms-3277-field_16_11" name="wpforms[fields][16][]" value="Dehydrated" aria-errormessage="wpforms-3277-field_16_11-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_16_11">Dehydrated</label></li><li class="choice-12 depth-1"><input type="checkbox" id="wpforms-3277-field_16_12" name="wpforms[fields][16][]" value="Sun, Liver, Brown Spots" aria-errormessage="wpforms-3277-field_16_12-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_16_12">Sun, Liver, Brown Spots</label></li><li class="choice-13 depth-1"><input type="checkbox" id="wpforms-3277-field_16_13" name="wpforms[fields][16][]" value="Other" aria-errormessage="wpforms-3277-field_16_13-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_16_13">Other</label></li></ul></fieldset></div><div id="wpforms-3277-field_33-container" class="wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show" data-field-id="33" style="display:none;"><label class="wpforms-field-label" for="wpforms-3277-field_33">Other (please specify):</label><textarea id="wpforms-3277-field_33" class="wpforms-field-medium wpforms-limit-characters-enabled" data-form-id="3277" data-field-id="33" data-text-limit="300" name="wpforms[fields][33]" aria-errormessage="wpforms-3277-field_33-error" maxlength="300" ></textarea></div><div id="wpforms-3277-field_31-container" class="wpforms-field wpforms-field-radio wpforms-list-inline" data-field-id="31"><fieldset><legend class="wpforms-field-label">Have you been under a dermatologist's care within the past year?</legend><ul id="wpforms-3277-field_31"><li class="choice-1 depth-1"><input type="radio" id="wpforms-3277-field_31_1" name="wpforms[fields][31]" value="Yes" aria-errormessage="wpforms-3277-field_31_1-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_31_1">Yes</label></li><li class="choice-2 depth-1"><input type="radio" id="wpforms-3277-field_31_2" name="wpforms[fields][31]" value="No" aria-errormessage="wpforms-3277-field_31_2-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_31_2">No</label></li></ul></fieldset></div><div id="wpforms-3277-field_18-container" class="wpforms-field wpforms-field-checkbox wpforms-list-3-columns wpforms-conditional-trigger" data-field-id="18"><fieldset><legend class="wpforms-field-label">Have you ever had an allergic reaction to any of the following?</legend><ul id="wpforms-3277-field_18"><li class="choice-1 depth-1"><input type="checkbox" id="wpforms-3277-field_18_1" name="wpforms[fields][18][]" value="Cosmetics" aria-errormessage="wpforms-3277-field_18_1-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_18_1">Cosmetics</label></li><li class="choice-2 depth-1"><input type="checkbox" id="wpforms-3277-field_18_2" name="wpforms[fields][18][]" value="Medicine" aria-errormessage="wpforms-3277-field_18_2-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_18_2">Medicine</label></li><li class="choice-3 depth-1"><input type="checkbox" id="wpforms-3277-field_18_3" name="wpforms[fields][18][]" value="Food" aria-errormessage="wpforms-3277-field_18_3-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_18_3">Food</label></li><li class="choice-4 depth-1"><input type="checkbox" id="wpforms-3277-field_18_4" name="wpforms[fields][18][]" value="Animals" aria-errormessage="wpforms-3277-field_18_4-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_18_4">Animals</label></li><li class="choice-5 depth-1"><input type="checkbox" id="wpforms-3277-field_18_5" name="wpforms[fields][18][]" value="Sunscreen" aria-errormessage="wpforms-3277-field_18_5-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_18_5">Sunscreen</label></li><li class="choice-6 depth-1"><input type="checkbox" id="wpforms-3277-field_18_6" name="wpforms[fields][18][]" value="Drugs" aria-errormessage="wpforms-3277-field_18_6-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_18_6">Drugs</label></li><li class="choice-7 depth-1"><input type="checkbox" id="wpforms-3277-field_18_7" name="wpforms[fields][18][]" value="Iodine" aria-errormessage="wpforms-3277-field_18_7-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_18_7">Iodine</label></li><li class="choice-8 depth-1"><input type="checkbox" id="wpforms-3277-field_18_8" name="wpforms[fields][18][]" value="Pollen" aria-errormessage="wpforms-3277-field_18_8-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_18_8">Pollen</label></li><li class="choice-9 depth-1"><input type="checkbox" id="wpforms-3277-field_18_9" name="wpforms[fields][18][]" value="AHAs" aria-errormessage="wpforms-3277-field_18_9-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_18_9">AHAs</label></li><li class="choice-10 depth-1"><input type="checkbox" id="wpforms-3277-field_18_10" name="wpforms[fields][18][]" value="Fragrance" aria-errormessage="wpforms-3277-field_18_10-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_18_10">Fragrance</label></li><li class="choice-11 depth-1"><input type="checkbox" id="wpforms-3277-field_18_11" name="wpforms[fields][18][]" value="Shellfish" aria-errormessage="wpforms-3277-field_18_11-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_18_11">Shellfish</label></li><li class="choice-12 depth-1"><input type="checkbox" id="wpforms-3277-field_18_12" name="wpforms[fields][18][]" value="Latex" aria-errormessage="wpforms-3277-field_18_12-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_18_12">Latex</label></li><li class="choice-13 depth-1"><input type="checkbox" id="wpforms-3277-field_18_13" name="wpforms[fields][18][]" value="Other" aria-errormessage="wpforms-3277-field_18_13-error" ><label class="wpforms-field-label-inline" for="wpforms-3277-field_18_13">Other</label></li></ul></fieldset></div><div id="wpforms-3277-field_32-container" class="wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show" data-field-id="32" style="display:none;"><label class="wpforms-field-label" for="wpforms-3277-field_32">Other (please specify):</label><textarea id="wpforms-3277-field_32" class="wpforms-field-medium wpforms-limit-characters-enabled" data-form-id="3277" data-field-id="32" data-text-limit="300" name="wpforms[fields][32]" aria-errormessage="wpforms-3277-field_32-error" maxlength="300" ></textarea></div><div id="wpforms-3277-field_21-container" class="wpforms-field wpforms-field-textarea" data-field-id="21"><label class="wpforms-field-label" for="wpforms-3277-field_21">Within the past 3 months, have you used Retin-A, Renova, AHAs or Retinol/Vitamin A-derivative products? If yes, please describe:</label><textarea id="wpforms-3277-field_21" class="wpforms-field-medium" name="wpforms[fields][21]" aria-errormessage="wpforms-3277-field_21-error" ></textarea></div><div id="wpforms-3277-field_28-container" class="wpforms-field wpforms-field-gdpr-checkbox" data-field-id="28"><label class="wpforms-field-label">Check the box to authorize and agree to receive skincare treatments <span class="wpforms-required-label" aria-hidden="true">*</span></label><ul id="wpforms-3277-field_28" class="wpforms-field-required"><li class="choice-1"><input type="checkbox" id="wpforms-3277-field_28_1" name="wpforms[fields][28][]" value="I authorize and agree" aria-errormessage="wpforms-3277-field_28_1-error" required ><label class="wpforms-field-label-inline" for="wpforms-3277-field_28_1">I authorize and agree</label></li></ul></div><div id="wpforms-3277-field_23-container" class="wpforms-field wpforms-field-signature" data-field-id="23"><label class="wpforms-field-label" for="wpforms-3277-field_23">Client Signature <span class="wpforms-required-label" aria-hidden="true">*</span></label><input type="text" id="wpforms-3277-field_23" class="wpforms-signature-input wpforms-screen-reader-element wpforms-field-required" data-is-wrapped-field="1" name="wpforms[fields][23]" autocomplete="off" aria-errormessage="wpforms-3277-field_23-error" required><div class="wpforms-signature-wrap wpforms-field-large"><canvas class="wpforms-signature-canvas" id="wpforms-3277-field_23-signature" data-color="#000000"></canvas><div class="wpforms-signature-clear" title="Clear Signature" tabindex="0"> <svg xmlns="http://www.w3.org/2000/svg" width="1em" height="1em" preserveAspectRatio="xMidYMid meet" viewBox="0 0 1536 1536"> <path fill="var( --wpforms-field-text-color, rgba(0, 0, 0, 0.25) )" d="M1149 994q0-26-19-45L949 768l181-181q19-19 19-45q0-27-19-46l-90-90q-19-19-46-19q-26 0-45 19L768 587L587 406q-19-19-45-19q-27 0-46 19l-90 90q-19 19-19 46q0 26 19 45l181 181l-181 181q-19 19-19 45q0 27 19 46l90 90q19 19 46 19q26 0 45-19l181-181l181 181q19 19 45 19q27 0 46-19l90-90q19-19 19-46zm387-226q0 209-103 385.5T1153.5 1433T768 1536t-385.5-103T103 1153.5T0 768t103-385.5T382.5 103T768 0t385.5 103T1433 382.5T1536 768z"/> </svg> <div class="wpforms-signature-clear-caption">Clear Signature</div> </div></div></div><div id="wpforms-3277-field_24-container" class="wpforms-field wpforms-field-date-time" data-field-id="24"><label class="wpforms-field-label" for="wpforms-3277-field_24">Date <span class="wpforms-required-label" aria-hidden="true">*</span></label><div class="wpforms-datepicker-wrap"><input type="text" id="wpforms-3277-field_24" class="wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium" data-date-format="m/d/Y" data-disable-past-dates="0" data-input="true" name="wpforms[fields][24][date]" aria-errormessage="wpforms-3277-field_24-error" required><a title="Clear Date" data-clear class="wpforms-datepicker-clear" style="display:none;"></a></div></div></div><div class="wpforms-submit-container" ><input type="hidden" name="wpforms[id]" value="3277"><input type="hidden" name="page_title" value="Esthetician Facial Consent Form Template"><input type="hidden" name="page_url" value="https://wpforms.com/templates/esthetician-facial-consent-form-template/"><input type="hidden" name="page_id" value="3278"><input type="hidden" name="wpforms[post_id]" value="3278"><button type="submit" name="wpforms[submit]" id="wpforms-submit-3277" class="wpforms-submit" data-alt-text="Sending..." data-submit-text="Submit" aria-live="assertive" value="wpforms-submit">Submit</button><img src="https://wpforms.com/templates/wp-content/plugins/wpforms/assets/images/submit-spin.svg" class="wpforms-submit-spinner" style="display: none;" width="26" height="26" alt="Loading"></div></form></div>  <div class="block-required-plan block"> <div class="block-container"> <a href="https://wpforms.com/pricing/" class="plan-notice-box"> <div class="plan-badge-holder"> <span class="plan-badge">pro</span> </div> <span>This template includes features available in WPForms Pro. <span class="plan-compare">Compare Plans</span></span> </a> </div> </div> </div> </div> <div class="single-template-content"> <p>With this esthetician facial consent form template from WPForms, your clients can authorize and consent to skincare treatments. This template is great for spas, dermatology offices, and any other business that specializes in skincare.</p> <p style="text-align: justify;"> <p>With our esthetician facial consent form template, you get the following fields:</p> <ul> <li style="list-style-type: none;"> <ul> <li>Name</li> <li>Phone number</li> <li>Email address</li> <li>Checkboxes for any symptoms the client is experiencing</li> <li>Checkboxes for the aromas that a client prefers</li> <li>A dropdown box for what skin type the client has</li> <li>Checkboxes for the areas of concern</li> <li>Radio buttons for answering whether or not the client has seen a dermatologist in the last year</li> <li>Checkboxes for any allergies or reactions</li> <li>A paragraph text field for clients to describe any use of Retin-A, Renova, AHAs, or Retinol/Vitamin A-derivative products in the last 3 months</li> <li>A GDPR field for the client to authorize and consent to treatments</li> <li>A signature field for the client to sign</li> <li>A date field so the signature can be dated</li> </ul> </li> </ul> <p>These fields will get you started, but all of our templates are fully customizable. If there is anything you want to add or remove, you can do it easily with the WPForms drag-and-drop form builder.</p> <h3 style="text-align: justify;">What Should Be in a Facial Consent Form?</h3> <p>The facial consent form’s primary goal is to have the client authorize skincare treatment. It also collects personal details and contact information, as well as skin type and health information. It’s similar in nature to an esthetician client intake form and contains similar elements.</p> <h3>Customizing the Facial Consent Form</h3> <p>While the terms and conditions on the template are generic, you can customize the form template to display your company’s information. The GDPR field is used here, and you could also use that as a waiver if needed.</p> <p>Another way you might choose to customize the form is to add checkboxes for the various kinds of treatments you offer so that clients can select what they want or what treatments interest them. If you have a marketing segment for it, after the client consents, you can use their skin treatment interests to send emails, coupons, and special deals.</p> <p>Now you’re ready to collect facial consent forms! Get started with WPForms today to create and customize your own consent form template. Signing up with WPForms gives you access to this and hundreds of other pre-made templates.</p> </div> </div> </article> </main> </div> </div> <div class="container wpf-pro-cta"> <a href="https://wpforms.com/pricing/" class="button button-large" data-vars-ga-category="Templates Single" data-vars-ga-action="click" data-vars-ga-label="Get WPForms Pro (Bottom)">Get WPForms Pro</a> </div> <div class="related-templates-wrap"> <h2 class="title">Looking for something else?</h2> <p>Here are some other <a href="https://wpforms.com/templates/category/customer-service">Customer Service form templates</a></p> <div class="related-templates-grid templates-list"> <div class="template-demo-block "> <div class="thumb-template"> <a href="https://wpforms.com/templates/product-sample-request-form-template/"><img src="https://wpforms.com/templates/wp-content/uploads/templates/thumb/adad8a23a09549b2a55da6ca6ea2f9ff.jpg" alt="Product Sample Request Form Template"></a> </div> <div class="content"> <header 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