client intake form hair

Professional Salon Client Consultation and Service Agreement

Instructions for Use

• Print or digitally distribute this form to all new clients prior to their first appointment to ensure comprehensive medical and history documentation.
• Ensure the client initials every section to acknowledge specific risks, particularly regarding chemical services and potential allergic reactions.
• Retain a signed copy of this document in the client’s permanent file for a minimum of seven years to maintain compliance with professional liability standards.

Parties & Definitions

This Agreement is entered into by and between [Salon/Professional Name] ("Service Provider") and [Client Full Legal Name] ("Client"), residing at [Client Address], on this [Day] day of [Month], [Year].

Operative Terms

1. Medical History & Allergies: The Client confirms they have disclosed all known allergies, including but not limited to latex, hair dyes, peroxide, fragrances, or metallic salts. The Client agrees to inform the Service Provider of any changes to their medical status or medication use prior to future services.

   • No known allergies or medical conditions.
   • I have the following allergies/conditions: [__________].

2. Chemical Service Liability: The Client acknowledges that chemical processes (including, but not limited to, coloring, perming, or straightening) involve inherent risks. The Service Provider is not liable for structural damage to hair caused by pre-existing conditions, previously applied home-box dyes, or improper aftercare.

   • I confirm I have not used henna or metallic-based dyes in the last [__________] months.

3. Patch Test Acknowledgment: The Client understands that a patch test is available upon request to determine potential allergic reactions.

   • I request a patch test.
   • I waive my right to a patch test and assume all risk of reaction.

4. Service Guarantee & Refund Policy: All services are final. If the Client is dissatisfied with the result, they must notify the Service Provider within [__________] days of the initial appointment. Adjustments will be performed at the discretion of the Service Provider.

5. Cancellation & No-Show Policy: Cancellations must be made at least [] hours in advance. Failure to provide notice may result in a fee of [] or a requirement for a deposit for future bookings.

6. Assumption of Risk: The Client voluntarily assumes all risks associated with the services provided and releases the Service Provider from any liability for injury, loss, or damage arising from the services, except in cases of gross negligence.

Signature & Acknowledgment

I have read, understood, and agree to the terms outlined above.

Signature: [__________]

Printed Name: [__________]

Title/Relationship (if minor): [__________]

Date: [__________]

LEGAL DISCLAIMER: This document is a general framework intended for informational purposes only and does not constitute legal advice. It may not account for specific state or local licensing requirements, health department regulations, or consumer protection laws. Consult with qualified legal counsel in your jurisdiction to ensure full compliance with applicable laws before use.