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Free templateWaxing

Waxing consent form

A complete, professional waxing consent and medical history form. Free to download and print - or switch it on inside Lumela and it is created for you, live, in about a minute.

Already built for you

Don't start from a blank form

You do not have to recreate any of this. Choose waxing when you sign up and this exact form appears in your account, ready to send.

Use this form

What to check before you treat

These are the answers that change whether the appointment goes ahead. The digital version turns the submission red automatically.

  • StopHave you taken isotretinoin (Accutane) in the last 6 months?Skin stays fragile for months after the last dose.
  • StopDo you use retinol, tretinoin or another retinoid on this area?Including prescription creams and strong over-the-counter serums.
  • StopIs the area sunburnt, waxed or exfoliated in the last 48 hours?
  • CheckDo you take blood thinners, or aspirin daily?
  • CheckDo you have diabetes?
  • CheckDo you have eczema, psoriasis, rosacea or active breakouts on this area?
  • CheckAre you pregnant or breastfeeding?

What the form covers

Identity and contact detailsDate of birth7 health questions3 that stop treatmentConsent wordingPhoto permissionSignatureGuardian under 18

Template wording is a professional starting point, not legal advice. Have your attorney review it for your state.

Paper works. Until it does not.

A printed form has to be filled in at the appointment, filed somewhere, and found again years later. It cannot flag a contraindication, cannot prove when it was signed, and cannot email the aftercare. The same form, sent as a link, does all three.

Get the waxing form, free

A complete, printable template written for this treatment. No card, no trial, just the form.

Waxing consent form - free template (PDF and digital) . Lumela