salon client consultation form

Professional Beauty Services Intake and Liability Waiver

Instructions for Use

• Complete all sections of this form accurately prior to the commencement of any services to ensure your safety and the quality of your results.
• If you have any known allergies, medical conditions, or are currently taking medications, disclose them in the "Medical History" section below.
• Ensure this document is signed and dated by the client (or legal guardian, if applicable) before the service provider begins the procedure.

Parties & Definitions

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

Operative Clauses

1. Service Disclosure: The Client acknowledges that they have been informed of the nature of the services to be performed, including the products, tools, and chemicals involved. The Client understands that results may vary based on individual hair/skin type and maintenance.

2. Medical History & Allergies: The Client confirms they have disclosed the following:

   • Known Allergies: [__________]
   • Current Medications: [__________]
   • Skin/Scalp Conditions: [__________]
   • Pregnancy or Nursing Status: [ ] Yes - [ ] No

3. Informed Consent: The Client voluntarily consents to the services provided by [Salon/Business Name]. The Client understands that certain services involve potential risks, including but not limited to chemical reactions, skin irritation, or breakage.

4. Liability Waiver: To the maximum extent permitted by law, the Client hereby releases and holds harmless [Salon/Business Name] and its employees from any and all claims, demands, or causes of action arising out of or related to any loss, damage, or injury that may be sustained by the Client while on the premises or as a result of the services provided, except in cases of gross negligence or willful misconduct.

5. Aftercare Instructions: The Client acknowledges that they have received and read the specific aftercare instructions provided for the services rendered. Failure to follow these instructions may diminish the longevity or quality of the service.

6. Governing Law: This agreement shall be governed by the laws of the state or province in which the Provider operates.

Signature & Acknowledgment

By signing below, I certify that I have read this document in its entirety, understand its contents, and agree to be bound by its terms.

Signature: __________ Printed Name: [] Title (if signing for a minor): [] Date: [__________]

Legal Disclaimer: This document is a general framework intended for informational purposes only and does not constitute legal advice. Please consult with qualified legal counsel in your specific jurisdiction to ensure compliance with local regulations, consumer protection laws, and health department requirements.