Skip to content

TemplatesDermaplaning

dermaplaning consent form

Dermaplaning is a blade held at an angle against skin.

  • 14-day trial
  • No card needed
  • Set up in 10 minutes
  • Cancel anytime
screening questions
8screening questions
stop the appointment
4stop the appointment
minutes to set up
10minutes to set up
a month to start
$8a month to start

Facial consent and skin intake

  • Full name

  • Date of birth

  • Email

  • Phone

  • Have you taken isotretinoin (Accutane) in the last 6 months?

    YesNo

Isotretinoin

Why this form, specifically

It settles the 'will it grow back thicker' question in writing before you pick up the blade, and stops you dragging active pustules along a jawline.

Look before you download

The whole document, before you give us anything

Facial consent and skin intake

Your details

Full name

Date of birth

Email

This is where your aftercare instructions go.

Phone

Health questions

Have you taken isotretinoin (Accutane) in the last 6 months?

Skin stays fragile for months after the last dose.

Do you use retinol, tretinoin or another retinoid on this area?

Including prescription creams and strong over-the-counter serums.

Have you had Botox or fillers in this area in the last 2 weeks?

Page 1 of 3

This is the form you get

Not a sample, not a preview of a preview. Every question below is in your account ten minutes after you sign up, with the flags already set and the aftercare email already written.

  • 14-day trial
  • No card needed
  • Set up in 10 minutes
  • Cancel anytime
4 stop treatment4 need cautionDo not treat, Proceed with caution, Safe to proceed

The 8 answers that should stop you

Dermaplaning is a blade held at an angle against skin. The risks are not exotic - they are what happens when you take a blade across a surface that is broken, infected or already over-exfoliated. That makes the screening list short, specific and easy to get right.

Do not treat

4
  • WhyThinned epidermis and near-absent sebum production. Extraction and exfoliation both act on a skin that cannot take them.

    What goes wrong if you treat anywayTearing during extractions, prolonged erythema, and scarring.

    What to doNo exfoliation, no extractions, no peels for six months. A gentle hydrating facial is defensible; nothing more.

    The question that catches itHave you taken isotretinoin (Accutane) in the last 6 months?

  • WhyMassage and heat can migrate product before it has settled, and injection sites are open channels for a fortnight.

    What goes wrong if you treat anywayProduct migration, an asymmetric result the injector gets blamed for, and infection risk at the sites.

    What to doTwo weeks after Botox, two weeks after filler. Ask for the date, not the season.

    The question that catches itHave you had Botox or fillers in this area in the last 2 weeks?

  • WhyHerpes simplex spreads readily across facial skin under manipulation, steam and heat.

    What goes wrong if you treat anywayA widespread outbreak and, with shared equipment, a cross-contamination problem.

    What to doAn active lesion is an absolute no. A history means warn, and consider antiviral cover arranged with their doctor.

    The question that catches itDo you get cold sores?

  • WhyThe barrier is still rebuilding, however normal the skin looks.

    What goes wrong if you treat anywaySensitivity, hyperpigmentation, and an undone result.

    What to doWait a fortnight, longer for medium-depth work.

    The question that catches itHave you had a peel, laser or microdermabrasion on this area in the last 2 weeks?

Proceed with caution

4
  • WhyHome actives have already thinned the stratum corneum. A professional exfoliant stacks on top of a skin that is already mid-turnover.

    What goes wrong if you treat anywayOver-exfoliation, a compromised barrier, and weeks of sensitivity and flaking.

    What to doAsk them to stop actives five days before. If they have not, do a hydrating facial instead and say why.

    The question that catches itDo you use retinol, tretinoin or another retinoid on this area?

  • WhyHeat, steam and massage are vasodilators. Rosacea in particular is a vascular condition that heat provokes directly.

    What goes wrong if you treat anywayA flare that outlasts any benefit from the treatment.

    What to doNo steam and no heat on rosacea. Work around eczema. Infected or cystic acne gets referred, not extracted.

    The question that catches itDo you have eczema, psoriasis, rosacea or active breakouts on this area?

  • WhyProfessional products are more concentrated than retail, and botanical extracts are among the commonest sensitisers.

    What goes wrong if you treat anywayContact dermatitis on the face, which takes days to settle and is highly visible.

    What to doTake the list before you choose the products, not after. Patch test anything new behind the ear.

    The question that catches itDo you have any allergies we should know about?

  • WhySkin is more reactive and prone to melasma. Several standard actives, notably high-percentage salicylic acid and retinoids, are avoided in pregnancy.

    What goes wrong if you treat anywayPigmentation that is slow to resolve, and use of an ingredient the client would rather have avoided.

    What to doSwitch to a pregnancy-safe protocol: lactic or mandelic acid, no retinoids, no high-strength salicylic. Say so out loud.

    The question that catches itAre you pregnant or breastfeeding?

What you actually get

Nobody buys a consent form

They buy the fifteen minutes back at the start of an appointment. They buy the phone call they did not have to make, because the contraindication turned up two days early instead of two minutes late. They buy an insurer who pays out, because the patch test has a timestamp rather than a memory attached to it.

The form is the mechanism. What you are actually buying is the record it leaves behind.

That is the whole argument, and it is why the questions matter more than the software. A blank form builder hands you a canvas and calls it flexibility. This hands you the nine questions that a waxing client should be asked, in the wording that gets an honest answer, with the risky one already flagged in red.

What this saves you

Not what the form contains - what it gives you back. Every number below is arithmetic you can check on the calculator further down the page.

Before they sit down

not halfway through

A form that collects answers and does nothing with them has solved the wrong problem. A risky answer turns the submission red and names the reason at the top, at the only moment the information is worth anything.

12 hours

a year, back in your chair

A new client filling in a paper form in your treatment room costs ten to fifteen minutes of an appointment they already paid for. Send it with the booking confirmation and that time goes back into treating, at roughly twelve hours a year on twenty clients a week.

A defensible claim

instead of a disputed memory

Most professional policies in these trades condition cover on documented screening, and a patch test you can describe is not a patch test you can produce. A timestamped record is the difference between a claim your insurer defends and one they decline.

4 seconds

from signature to aftercare email

The aftercare for their treatment lands in their inbox before they have left the chair, written for that service and editable in your words. Clients who follow aftercare heal better, complain less and rebook more - and you did nothing.

Same week. One thing changed.

The left-hand column is most studios today. The right-hand one is the same week with the form sent at booking instead of handed over on arrival.

On paper
  1. She arrives, you hand her a clipboard, she fills it in while you wait
  2. Halfway through she mentions the retinol she uses nightly
  3. You improvise a gentler treatment and hope
  4. The form goes in a folder you will never open again

Nothing here is negligent. It is just undocumented.

With Lumela
  1. The form was done at home, the evening she booked
  2. You saw the retinol answer flagged in red two days ago
  3. You rescheduled by message, before either of you lost the slot
  4. It is on her record, searchable, next time she books

Same treatments, same clients, same you. Different record.

Contraindication checker

Can you treat a client who...?

Pick a treatment and a condition. The answer comes with the reason behind it, and the form question that catches it.

Pick a condition

Every answer here is the same rule set that ships inside the product's forms.

A facial looks like the safest thing on the menu, which is exactly why the screening gets skipped. Most facial complaints are a reaction to an active ingredient the client was already using at home.

Dermaplaning

What goes wrong without it

The typical dermaplaning complaint is a breakout, not a cut.

A client with a few active pustules along the jaw books a dermaplaning facial. Nobody asks, because the pustules are small and she has covered them. The blade passes over them and drags their contents along the jawline, and four days later she has a row of new lesions in a line that follows the blade's path exactly. It looks like a reaction to the treatment. It is a reaction to treating over active acne, which is the one question the form has to ask.

What a dermaplaning consent form has to cover

The actual field list, and why each group is on this particular form.

Identity and contact

  • Full name
  • Date of birth
  • Email
  • Phone

Standard, but the email matters more here than usual: dermaplaned skin is photosensitive for days and the SPF instruction needs to arrive in writing.

Skin condition today

  • Active breakouts or cystic acne
  • Cold sores or open lesions
  • Eczema, psoriasis or dermatitis on the face
  • Sunburn or recent significant sun
  • Keratosis pilaris or raised moles on the area

A blade over an active pustule spreads its contents across the field it is dragged through. Everything in this group is asking whether the surface is intact.

Medication and recent treatments

  • Isotretinoin in the last 6 months
  • Retinoids or acids at home
  • Peel, laser or microdermabrasion in the last 2 weeks
  • Botox or filler in the last 2 weeks
  • Blood thinners

Dermaplaning is physical exfoliation on top of whatever chemical exfoliation the client is already doing. The stacking question is the whole risk.

Expectations and consent

  • Understanding that hair grows back the same, not thicker
  • Photosensitivity acknowledgement
  • Consent statement and initials
  • Photo permission
  • Signature with timestamp

The 'will it grow back thicker' fear is the single most common client question about this treatment, and answering it in writing on the form ends the conversation before it starts.

Is a digital signature legally valid?

Exact time signed

IP address

Device and browser

The exact form they saw

Yes - the US ESIGN Act and the state UETA adoptions give it the same legal effect as ink. What makes it hold up is the evidence stored beside it, and a paper form in a drawer carries none of this.

Sign with your finger

Where you stand legally

Dermaplaning is inside esthetician scope in most US states, but it is one of the treatments where boards are actively drawing lines, and a handful restrict it or require specific training. The blade type matters to that question: a sterile single-use dermaplaning blade sits in a different regulatory position from a surgical scalpel, and describing your treatment with medical language invites a scope question you do not want. Consent wording should therefore stay cosmetic: exfoliation and vellus hair removal, not 'skin resurfacing procedure'. The second issue is sterility. Single-use blades, disposed in a sharps container, are the expected standard, and a client who develops a folliculitis after a dermaplaning appointment will ask about it. Recording on the form that a single-use blade was used, alongside the screening answers, is cheap and occasionally decisive. This is general guidance, not legal advice - your state board's position is the one that governs.

Paper, PDF or digital?

Paper

Fine when you are small

  • Signed before they arrive
  • Flags contraindications
  • Findable by name in seconds
  • Proves when it was signed
  • Sends aftercare automatically
  • Costs nothing

Emailed PDF

Worst of both

  • Signed before they arrive
  • Flags contraindications
  • Findable by name in seconds
  • Proves when it was signed
  • Sends aftercare automatically
  • Costs nothing

Digital

Earns its place at scale

  • Signed before they arrive
  • Flags contraindications
  • Findable by name in seconds
  • Proves when it was signed
  • Sends aftercare automatically
  • Costs nothing

Three clients a week? Print it and staple it in a binder. That is genuinely fine, and software would be an expense with no return. Digital earns its place around ten to fifteen clients a week, when finding one form again matters more than the minutes it took to file it.

Questions people actually ask

  • No. Cutting vellus hair does not change the follicle, the growth cycle or the hair's diameter. It grows back with a blunt end rather than a tapered one, which can feel different for a few days. Putting this on the consent form saves the conversation from happening mid-treatment.

Your form is written. Come and get it.

Pick your service, and it is in your account before you have finished making a coffee. 14 days free, no card.

  • 14-day trial
  • No card needed
  • Unlimited forms
  • Cancel anytime

General guidance for professionals, not legal or medical advice. Check the rules that apply where you work.

Dermaplaning Consent form: Ready-Made, Signed On Their Phone . Lumela