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

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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
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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.

Ready to go paperless?

Turn this template into a digital form your clients fill out on their phone. E-signatures, auto-saved PDFs, and a dashboard to manage everything. Free to start.

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