Esthetician Client Intake Form

Esthetician Client Intake Form Template for United Arab Emirates

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Key Requirements PROMPT example:

"I need an Esthetician Client Intake Form for my new medical spa in Dubai Healthcare City, opening in March 2025, that includes extensive medical screening and specific sections for advanced cosmetic treatments like chemical peels and micro-needling, with extra emphasis on liability protection."

Document background

The Esthetician Client Intake Form is a mandatory document required by UAE health authorities for all professional esthetic service providers. It serves multiple purposes: ensuring client safety through proper medical screening, documenting informed consent for treatments, and protecting both the service provider and client through clear documentation of health history and treatment expectations. The form must comply with UAE Federal Law No. 2 of 2019 regarding health information handling, as well as Dubai Health Authority guidelines for beauty establishments. It is typically completed before the first treatment and updated annually or when significant changes occur in the client's health status. This document is particularly crucial in the UAE context, where beauty treatments are highly regulated and must adhere to strict health and safety standards.

Suggested Sections

1. Personal Information: Client's basic details including full name, date of birth, Emirates ID, contact information, and preferred method of contact

2. Emergency Contact Information: Details of whom to contact in case of emergency, including name, relationship, and contact numbers

3. Medical History: Comprehensive medical background including allergies, current medications, chronic conditions, recent surgeries, and pregnancy status

4. Skin Conditions and Concerns: Current skin conditions, concerns, sensitive areas, and any previous adverse reactions to treatments

5. Current Skincare Routine: Products currently being used, frequency of use, and any professional treatments received

6. Treatment Consent: General acknowledgment of risks and consent for treatment

7. Privacy Policy and Data Protection: Information about how client data will be stored and used, in compliance with UAE data protection laws

8. Client Declaration: Statement confirming accuracy of provided information and understanding of terms

Optional Sections

1. Lifestyle Factors: Optional section for collecting information about sun exposure, diet, stress levels, and other lifestyle factors that may impact treatment

2. Photography Consent: Optional authorization for before/after treatment photographs

3. Treatment History: Detailed section about previous esthetic treatments if client has had them

4. Product Sensitivity Test Consent: For clients requiring patch tests before treatments

5. Special Treatment Requirements: For clients with specific religious or cultural considerations affecting treatment delivery

Suggested Schedules

1. Treatment Menu and Pricing: List of available treatments and their current prices

2. Pre and Post Treatment Care Instructions: General guidelines for treatment preparation and aftercare

3. Product Ingredients List: Detailed list of ingredients used in treatments for allergy checking

4. Cancellation and Refund Policy: Terms and conditions regarding appointment cancellations and refunds

Authors

Alex Denne

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

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Relevant Industries

Beauty and Wellness

Healthcare

Personal Care Services

Medical Spa

Cosmetic Services

Professional Services

Hospitality

Relevant Teams

Operations

Client Services

Legal

Compliance

Quality Assurance

Health and Safety

Front Desk

Treatment

Medical Supervision

Records Management

Relevant Roles

Esthetician

Spa Manager

Beauty Therapist

Salon Owner

Compliance Officer

Medical Director

Client Relations Manager

Treatment Coordinator

Quality Assurance Manager

Health and Safety Officer

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Let's create your Esthetician Client Intake Form

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