Esthetician Client Intake Form Template for England and Wales

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Key Requirements PROMPT example:

Esthetician Client Intake Form

I need an Esthetician Client Intake Form for my new high-end spa in London, with particular emphasis on medical history collection and liability waivers for advanced skin treatments, including micro-needling and chemical peels.

Document background
The Esthetician Client Intake Form is a crucial document required before providing any beauty or skincare treatments in England and Wales. This form ensures compliance with UK data protection laws, health and safety regulations, and professional standards in the beauty industry. It includes comprehensive client information, medical history, consent declarations, and treatment preferences. The form helps identify potential contraindications, establishes clear communication between the practitioner and client, and provides legal protection for both parties.
Suggested Sections

1. Personal Information: Collection of client details including full name, contact information, date of birth, and emergency contact details

2. Medical History: Comprehensive health questionnaire covering current medications, allergies, medical conditions, and pregnancy status

3. Treatment Consent: Client acknowledgment and agreement to treatment, including risks and potential outcomes

4. Privacy Notice: GDPR-compliant explanation of how personal data will be collected, processed, stored and protected

Optional Sections

1. Photo Consent: Optional authorization for taking and using before/after photographs for treatment tracking or marketing purposes

2. Patch Test Declaration: Documentation of patch testing results and client acknowledgment for treatments requiring sensitivity testing

3. Treatment History: Record of previous beauty treatments, results, and any adverse reactions

Suggested Schedules

1. Schedule A - Treatment Price List: Comprehensive list of available treatments and their current pricing

2. Schedule B - Aftercare Instructions: Detailed post-treatment care guidelines for various services

3. Schedule C - Cancellation Policy: Terms and conditions for appointment cancellations, rescheduling, and associated fees

Authors

Relevant Industries
Relevant Teams
Relevant Roles
Industries

UK GDPR and DPA 2018: Core data protection legislation governing the collection, processing, and storage of client personal information, requiring explicit consent and proper data handling procedures

PECR: Privacy and Electronic Communications Regulations governing electronic communications and marketing to clients

Consumer Rights Act 2015: Legislation ensuring fair treatment of consumers, transparent pricing, and quality of service requirements

Consumer Protection Regulations 2008: Regulations protecting clients from unfair trading practices and ensuring transparent business operations

Consumer Contracts Regulations 2013: Rules governing cancellation rights, information provision, and additional charges in service contracts

Health and Safety at Work Act 1974: Primary legislation ensuring safe working conditions and practices in the beauty industry

COSHH Regulations 2002: Control of Substances Hazardous to Health regulations governing the safe use of beauty products and chemicals

Local Authority Licensing: Specific local government requirements for operating beauty treatment services

BABTAC Guidelines: Professional standards and guidelines from the British Association of Beauty Therapy & Cosmetology

Access to Medical Reports Act 1988: Legislation governing the collection and handling of client medical history information

Mental Capacity Act 2005: Law ensuring proper consent procedures and protection of vulnerable clients

Equality Act 2010: Legislation preventing discrimination and ensuring equal treatment of all clients regardless of protected characteristics

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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