Client consent and health-history form for a beauty/personal-appearance treatment — a de-facto requirement of public liability/treatment-risk insurance, with additional state-specific infection control obligations for skin penetration procedures (see the separate skin penetration compliance pack).
⚠️ This is a blank template, not legal advice: check the wording with a lawyer and adapt it to your jurisdiction and your case.
This template has no optional clauses: the text is the same for everyone.
Required fields not filled: 8. The PDF will have blank lines in their place to fill in by hand.
Click a field label in the text and type, or use the form. Empty fields become blank lines in the PDF.
CLIENT CONSENT FORM — BEAUTY TREATMENT
Client: , date of birth .
1. TREATMENT 1.1. Treatment to be performed: .
2. HEALTH HISTORY 2.1. 2.2. This health information is collected only for the purpose of safely delivering your treatment and will be handled in accordance with our privacy policy.
3. RISKS 3.1. 3.2. I confirm the risks associated with this treatment have been explained to me and I have had the opportunity to ask questions.
4. PATCH TEST 4.1.
5. PHOTOGRAPHY 5.1. Consent to before/after photographs: .
6. CONSENT 6.1. I confirm the above information is accurate to the best of my knowledge, and I consent to the treatment described above.
⚠️ For skin penetration procedures (e.g. piercing, microneedling), additional state/territory infection control and registration requirements apply — see the separate Skin Penetration / Infection Control Compliance Pack.
Client signature ______________ / / Date:
This is a boilerplate template, not legal advice. Australian workplace, consumer-protection, food safety, and work health & safety law combines uniform federal rules (Fair Work Act 2009, the National Employment Standards, the applicable Modern Award, the Australian Consumer Law) with state- and territory-specific rules that this template flags with ⚠️ but does not resolve for you — have it reviewed and adapted by a lawyer before use, check the current Fair Work Ombudsman resources at fairwork.gov.au (including free official templates and the P.A.C.T. pay calculator), and confirm the Modern Award classification and minimum pay rate in force on the date of use (rates change every 1 July).
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1 of 10 fields are taken from the company, employee or counterparty record, the questionnaire can be dictated to the AI, and the finished document comes with a number, a PDF and an acknowledgement record.