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Esthetician Client Intake Form

Esthetician Client Intake Form Template for Germany

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Key Requirements PROMPT example:

Esthetician Client Intake Form

"I need a comprehensive Esthetician Client Intake Form in German and English for my new medical spa opening in Berlin in March 2025, with special emphasis on advanced skincare treatments and laser procedures, ensuring full GDPR compliance and medical history documentation."

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Document background
The Esthetician Client Intake Form is a crucial document required for all professional beauty and skin care services in Germany. It serves as both a legal requirement and a practical tool for service providers, ensuring proper collection of client information and compliance with German healthcare and data protection regulations. This form must be completed before any esthetic treatments can be performed, gathering essential information about the client's health status, skin conditions, and treatment history while obtaining necessary consents. The document is designed to meet requirements set forth by German trade regulations (Gewerbeordnung), data protection laws (GDPR and BDSG), and regional healthcare standards, making it an essential component of client documentation in German beauty establishments.
Suggested Sections

1. Personal Information: Client's basic contact details including name, address, date of birth, phone number, and email address

2. Emergency Contact Information: Details of who to contact in case of emergency during treatments

3. Medical History: Current medications, allergies, and relevant medical conditions that could affect treatments

4. Skin Conditions and Concerns: Specific skin-related issues, current skincare routine, and treatment goals

5. Previous Treatments: History of professional skincare treatments and any adverse reactions

6. Lifestyle Factors: Information about sun exposure, smoking, diet, and other factors affecting skin health

7. Data Protection Notice: GDPR-compliant explanation of how personal data will be collected, stored, and used

8. Consent Declaration: Client's acknowledgment and consent for treatments and data processing

9. Signature and Date: Space for client signature and date of form completion

Optional Sections

1. Pregnancy Status: Required for clients who are or may be pregnant, as certain treatments may be contraindicated

2. Photo Consent: Optional authorization for taking and storing before/after treatment photos

3. Marketing Preferences: Optional section for clients to indicate their preferences for receiving promotional communications

4. Insurance Information: Required if the establishment processes insurance claims for medical-grade treatments

5. Special Treatment Preferences: Optional section for noting specific preferences regarding products, pressure, or treatment style

Suggested Schedules

1. Treatment Contraindications List: Detailed list of conditions that may prevent specific treatments

2. Privacy Policy: Detailed GDPR-compliant privacy policy explaining data handling practices

3. Cancellation Policy: Terms and conditions regarding appointment cancellations and rescheduling

4. Price List: Current treatment prices and packages as required by PAngV regulations

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Linkedin in social icon imageX social icon image
alex.den.21@genieai.co
Relevant Industries

Beauty and Wellness

Personal Care Services

Medical Aesthetics

Cosmetic Services

Healthcare Services

Spa and Wellness Centers

Beauty Education

Relevant Teams

Legal

Compliance

Client Services

Operations

Quality Assurance

Treatment Services

Front Desk

Medical Advisory

Documentation

Training

Relevant Roles

Esthetician

Spa Manager

Beauty Therapist

Salon Owner

Compliance Officer

Medical Esthetician

Beauty Clinic Director

Skincare Specialist

Quality Assurance Manager

Client Services Coordinator

Treatment Coordinator

Industries
EU General Data Protection Regulation (GDPR): Fundamental law governing personal data collection and processing in the EU, requiring explicit consent for data collection and specifying how personal information must be handled and protected
German Federal Data Protection Act (BDSG): National implementation of GDPR principles, providing additional requirements for data protection specific to Germany
German Civil Code (BGB): Contains regulations regarding service contracts and consumer rights, including requirements for clear documentation of services and informed consent
German Healthcare Advertisement Act (Heilmittelwerbegesetz - HWG): Regulates advertising and documentation requirements for health-related services, including certain cosmetic treatments
German Medical Devices Act (Medizinproduktegesetz - MPG): Relevant for forms documenting the use of certain cosmetic devices or products used in treatments
Trade Regulation Act (Gewerbeordnung - GewO): Governs the operation of beauty and cosmetic businesses, including documentation requirements
German Price Indication Regulation (Preisangabenverordnung - PAngV): Requires clear disclosure of prices and services, which should be documented in client forms
State-specific Hygiene Regulations: Local health and safety requirements that vary by German state (Bundesland) for beauty treatments and documentation
Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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