Salon consent form for stylists and barbers
A salon consent form for color, bleach, relaxers and barber services, with patch-test records and allergy questions flagged before visits.
Updated Oct 23, 2026Quick answer
A spa waiver form is a massage intake and consent document guests complete before a treatment. It records health history and contraindications such as pregnancy, blood pressure, blood clots, recent surgery, skin conditions and allergies, collects pressure preferences, explains common treatment reactions, sets professional boundaries and releases the spa from ordinary negligence. Flagged answers let therapists adjust before the session starts.
Why a massage intake form protects guests and therapists
In a spa, the biggest risks are not dramatic. They are the quiet contraindications a therapist needs to know: a deep tissue massage on someone with a recent blood clot, essential oils on someone with a nut allergy, a hot stone treatment for someone with poor circulation from diabetes. A good intake form surfaces these before the guest is on the table.
For the spa, the form also records that the guest disclosed their health honestly, understood common reactions such as next-day soreness, and agreed to professional boundaries.
Spa waiver and massage intake template
Combines intake, preferences, consent and release on one page. Mark the health questions as flagged so therapists see yes answers first.
Guest information
Full name: [Full name] Date of birth: [Date of birth]
Phone: [Phone] Email: [Email]
1. Treatment
I am booked for [treatment, e.g. 60-minute deep tissue massage / facial / body wrap / hot stone massage] with [Therapist name] on [Date].
2. Health history
Are you pregnant? If yes, how many weeks? [Yes / No, weeks]
Do you have high or low blood pressure, a heart condition or circulation problems? [Yes / No]
Do you have varicose veins, blood clots or take blood thinners? [Yes / No]
Have you had surgery, an injury or a fracture in the last 6 months? [Yes / No]
Do you have skin conditions, open wounds, rashes or sunburn? [Yes / No]
Do you have allergies to oils, nuts, fragrances or skincare ingredients? [Yes / No, details]
Do you have diabetes, epilepsy or any condition we should know about? [Yes / No, details]
3. Preferences
Pressure: [Light / Medium / Firm] Areas to avoid: [Areas] Areas to focus on: [Areas]
4. Treatment consent
I understand that massage and spa treatments can cause temporary soreness, bruising, skin reactions or dizziness. I will tell my therapist immediately if I feel discomfort, and I may stop the treatment at any time.
5. Professional boundaries
I understand that treatments are therapeutic and professional, and that the therapist may end the session if boundaries are not respected.
6. Release
To the fullest extent permitted by law, I release [Spa name] and its therapists from claims arising from my treatment, including claims caused by their ordinary negligence. This does not apply to gross negligence or intentional misconduct.
Signature
I have answered the health questions honestly and will update them if my health changes.
Signature: [Signature] Date: [Date]
Full name: [Full name] Date of birth: [Date of birth]
Phone: [Phone] Email: [Email]
1. Treatment
I am booked for [treatment, e.g. 60-minute deep tissue massage / facial / body wrap / hot stone massage] with [Therapist name] on [Date].
2. Health history
Are you pregnant? If yes, how many weeks? [Yes / No, weeks]
Do you have high or low blood pressure, a heart condition or circulation problems? [Yes / No]
Do you have varicose veins, blood clots or take blood thinners? [Yes / No]
Have you had surgery, an injury or a fracture in the last 6 months? [Yes / No]
Do you have skin conditions, open wounds, rashes or sunburn? [Yes / No]
Do you have allergies to oils, nuts, fragrances or skincare ingredients? [Yes / No, details]
Do you have diabetes, epilepsy or any condition we should know about? [Yes / No, details]
3. Preferences
Pressure: [Light / Medium / Firm] Areas to avoid: [Areas] Areas to focus on: [Areas]
4. Treatment consent
I understand that massage and spa treatments can cause temporary soreness, bruising, skin reactions or dizziness. I will tell my therapist immediately if I feel discomfort, and I may stop the treatment at any time.
5. Professional boundaries
I understand that treatments are therapeutic and professional, and that the therapist may end the session if boundaries are not respected.
6. Release
To the fullest extent permitted by law, I release [Spa name] and its therapists from claims arising from my treatment, including claims caused by their ordinary negligence. This does not apply to gross negligence or intentional misconduct.
Signature
I have answered the health questions honestly and will update them if my health changes.
Signature: [Signature] Date: [Date]
Spa consent form contraindications
| Answer | Typical therapist response |
|---|---|
| Pregnancy | Pregnancy-trained therapist, adapted positioning, avoid certain oils |
| Blood clots or blood thinners | Avoid deep pressure, may need medical clearance |
| Recent surgery or fracture | Avoid the area, may need clearance |
| Skin conditions or wounds | Avoid affected areas |
| Oil or nut allergy | Switch to an alternative product |
| Uncontrolled blood pressure | Adapt or postpone heat treatments |
These are common practices, not medical rules. Follow your training, your professional body's guidance and your local regulations.
Esthetician waiver for facials and skin treatments
Facials, peels, waxing and microdermabrasion have their own risks: reactions to products, irritation, and burns or lifting skin when guests use retinoids or isotretinoin. Add questions about current skincare products and medications, recent sun exposure and previous reactions. For chemical peels and other stronger treatments, record a patch test where your products recommend one.
Why a spa waiver includes professional boundaries
A short boundaries clause protects both therapists and guests. It states that treatments are professional and therapeutic, describes draping practice, and gives the therapist the right to end a session if boundaries are not respected. It also reassures guests that they can stop a treatment at any time. Keep the wording calm and factual. Its purpose is clarity, not suspicion.
Spa consent for couples and group bookings
Couples massages, bridal parties and corporate spa days often arrive as one booking with several guests. Each guest needs their own intake, because each has their own health history. Send the booking holder one link to share with the group, so everyone completes intake before arrival. Therapists then see each guest's flags separately, which avoids the common situation where one person fills in a form on behalf of everyone.
Massage intake form privacy and retention
Intake forms contain health information, which privacy laws treat as sensitive. Limit access to therapists and managers who need it, store records securely, and keep them only as long as your local rules and insurer require. Tell guests in your privacy policy how intake data is used. Never use health answers for marketing. These practices protect guests and reduce the spa's exposure if records are ever lost or requested.
Spa waiver form: an example scenario
A hotel spa used a paper intake card that guests filled in at reception just before their treatment. Therapists often read it only once the guest was on the table, too late to change products or plan the session.
The spa moved intake online, sent with the booking confirmation. Guests complete it in their room, and therapists see flags such as pregnancy, nut allergy or recent surgery on their schedule before the session. One flagged nut allergy led to a switch from almond oil to a neutral alternative before the guest arrived, a small change the guest noticed and mentioned in a review.
Best practices for a spa waiver form
- Send intake with the booking so guests complete it at home.
- Flag contraindications so therapists see them before the session.
- Ask about products, medications and allergies for skin treatments.
- Include professional boundaries in calm, plain language.
- Ask returning guests to update their health answers each visit or each year.
- Keep intake records private and access-limited, since they contain health information.
Offering hair or chemical services too? See the salon consent form.
Spa waiver form: FAQ
Spas usually ask for a full spa waiver once, then a quick health confirmation before each treatment, with a new form if health changes.
Yes. A therapist can refuse or adapt a massage if intake answers show a contraindication, such as a recent blood clot, or if boundaries are not respected.
They can use the same spa waiver with the pregnancy question answered, so the spa assigns a pregnancy-trained therapist and adapts the treatment.
A guest who gives false health answers weakens any later claim, because the spa waiver records what they disclosed and agreed to.
A spa waiver form is a massage intake and consent document recording health history, contraindications, preferences and agreement to treatment, with a release of ordinary negligence.
A massage intake form should include pregnancy, blood pressure, blood clots, recent surgery, skin conditions, allergies, pressure preferences and areas to avoid.
Ask new guests for a full spa waiver, and ask returning guests to confirm or update their health answers at each visit or at least once a year.
An esthetician waiver is a consent form for facials, peels and waxing that asks about skincare products, medications, sun exposure and previous reactions.
Yes. Guests can complete a spa intake form online with their booking, and therapists see flagged contraindications before the treatment.
Yes. Spa intake forms contain health information, so store them securely and limit access to staff who need them for the treatment.
This template is a starting point, not legal advice. Laws on waivers vary by country and state, so have a local attorney review any waiver before you rely on it. See our editorial policy and disclaimer.