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Free TemplateBeauty & Aesthetics

Waxing Intake Form

Client intake form for waxing services collecting contact details, medical history, skin conditions, and service preferences.

Last updated: April 2026

Researched by the CheckinPulse Research Team

Use This Form Digitally

Paper forms work, but digital forms work better. Here is what you get when you use this template on CheckinPulse:

  • Clients fill out on their phone (no app needed)

    Scan a QR code or tap a link — works on any device

  • E-signatures with legal timestamp

    IP address, timestamp, and audit trail on every signature — valid in all 50 states under the E-SIGN Act

  • Submissions go straight to your dashboard

    No more clipboards, filing cabinets, or illegible handwriting

  • PDF waivers stored for 7 years

    Encrypted, searchable, and accessible anytime on paid plans

Use this form digitally — free

Form Preview

This is what your clients will fill out. 13 fields, mobile-friendly.

Waxing Intake Form

All fields marked with * are required

Jane Doe
jane@email.com
(555) 123-4567
Date
123 Main St, City, State
Google
Eyebrow Wax
Normal
Retinol, blood thinners, antibiotics...
Eczema, psoriasis, rosacea...
Regular client (monthly+)
No preference
Submit Form

Legal References

E-SIGN Act (15 U.S.C. ch. 96) — Congress.gov

The federal law that makes electronic signatures on consent forms and waivers legally equivalent to handwritten signatures in all 50 US states.

Frequently Asked Questions

An intake form collects client info, preferences, and medical history. A consent form documents that the client understands the risks and agrees to the service. Most waxing businesses combine both into one document, but they serve different purposes — intake is about gathering info, consent is about liability protection.

Because Retinol, Accutane, certain antibiotics, and blood thinners can cause serious complications during waxing — from skin lifting to excessive bruising. This is the single most important question on the form. If a client is on Accutane, you should refuse service entirely.

It's optional but worth it. Knowing whether clients come from Instagram, Google, or referrals helps you figure out where to spend your marketing budget. It takes one extra field and gives you data that's hard to get any other way.

Popular with salon and beauty business owners — see how CheckinPulse serves your industry.

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