Client Consent Form

Client Information

Service Selection

Description of Potential Risks

Allergy Test Recommendation

It is strongly recommended to perform a patch or sensitivity test at least 48 hours before any chemical-based treatments.

Optional Consents

Client Responsibilities & Legal Consent

Privacy Notice & Professional Standards

Your personal data will not be sold or shared with third parties. In accordance with applicable privacy laws — including the California Consumer Privacy Act (CCPA), where applicable — you have the right to access, correct, or request deletion of your personal information at any time by contacting your provider.

The technician follows industry-accepted hygiene and safety protocols as required by state regulations.
This form is a standard legal document for consent and risk acknowledgment, used by licensed beauty professionals across all U.S. states.
A digital copy of your responses will be securely stored by your technician as required.

By submitting this form, I confirm that:
• I have provided accurate and complete health and medical history information.
• I will immediately inform the technician of any discomfort or adverse reactions during or after the procedure.
• I understand the potential risks described above and accept responsibility for any resulting complications.
• I acknowledge that this service is cosmetic in nature and is not a medical procedure or substitute for medical treatment.
• I release the technician, salon, and affiliated entities from all liability for claims or damages arising from the procedure, provided professional standards were followed.
• I consent to the secure collection, processing, and storage of my personal data in accordance with applicable U.S. privacy laws, including the California Consumer Privacy Act (CCPA), where applicable.
• They consent to the secure collection, processing, and storage of their personal data in accordance with applicable U.S. privacy laws, including the California Consumer Privacy Act (CCPA), where applicable.

Please click “Submit” only once and allow a few seconds for your responses to process.
Thank you for your patience.

Thank you!

Your consent has been securely received.
We appreciate your trust and look forward to serving you safely.

Made on
Tilda