Facial Consultation Forms

Obtain information on the patient’s skin history and reason for visiting by giving them a facial consultation form. Click here for a free copy!

By Patricia Buenaventura on Jun 03, 2024.

Fact Checked by Ericka Pingol.

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What is a Facial Consultation Form?

A Facial Consultation Form is designed specifically for practitioners who provide facial consultation and treatment services. It is a specialized document that skincare practitioners utilize to gather information on a patient. Depending on the document's purpose, the look and content may vary.

Our facial consultation form has the following:

  • basic patient details
  • reason for visit
  • medical history

The demand for digital facial consultation forms has increased greatly in recent years to lessen face-to-face interactions. Many practitioners have decided to adopt the practice of offering digital consultation forms to save time, effort, and money. However, it's important to note that physical copies are still being offered for ease for certain practitioners and to improve inclusivity.

If you need an updated version of the consultation form you use or need to switch to digital copies and don't want the hassle of creating a new one, we've created a template just for you. With our template, you won't only be able to gather information in minutes but also edit the content to suit your meet your needs.

To know more about how to download and utilize the template, as well as the benefits of using a pre-formatted template like this one, just keep reading.

Printable Facial Consultation Form

Download this Facial Consultation Form to obtain important information about your client’s skin.

How does it work?

To start standardizing your client's skincare consultation forms using our template, just follow the simple steps below.

Step One. Access and download the template

Access and download our printable facial consultation form template by doing either of the following:

  • Clicking the “Use the Template” or “Download Template” button above.
  • Search “Facial Consultation Form” on Carepatron's template library on our app or website.

Step Two. Fill out the form

Before the consultation or treatment, provide a copy for your patient to fill out. You can give it to them ahead of time to answer at home or right before the appointment, and in a digital or PDF format.

The form is divided into different sections including a detailed skincare history including their current skin care products and routine, past skincare treatments, specific requirements and expectations for the session, allergies, and a space for them to sign that they have answered these sections truthfully.

Step Three. Upload the Form

Once finished, don't forget to upload the information in Carepatron's HIPAA-compliant patient portal or secure physical storage. That way, practitioners who may need it can access the information easily. 

Facial Consultation Forms Example (sample)

Here's our example of a facial consultation form sample in PDF form for dermatologists answered by a fictional client. Hopefully, you'll gain insight into how this form may look when it is completed.

Grab a copy of our sample for offline use by viewing the example below or clicking the “Download Example PDF” button above. 

Download this Facial Consultation Form Example:

Facial Consultation Forms Example (sample)

When would you use this Form?

Skin professionals such as dermatologistsmassage therapists, estheticians, and facialists can use the facial consultation form similar to other intake forms to gather information on new patients, update information on old patients, or collect information about the reason behind a patient's visit.

Estheticians may use this form before seeing a new client to ensure they are prepared for the client's skin condition.

Do note that depending on the practitioner, the Facial Consultation form can be edited using Carepatron's form builder software to fulfill any additional purpose such as adding a consent form, intake form, or skin assessment.


Saves time, effort, and money 

Since our free facial consultation form comes in a digital PDF, you and your staff can save time and effort that would be spent to ask a patient about their medical history or interpret their handwriting. To add, patients who don't like to be rushed can also benefit from the opportunity to answer forms at home. 

Comprehensive and encourages transparency

Our facial consultation form is designed to be as comprehensive as possible so that patients are encouraged to share as much information as possible to prevent any unwanted facial treatment reactions due to a lack of information or information. 

Personalized treatment

Armed with this consultation form and knowledge of their medical history, you, as the practitioner, can formulate a more personalized treatment that doesn't only address the goals or concerns they have but also ensures that any treatment won't react negatively to the products they use daily or any health conditions they may have. 

Digitally accessible

Having a digitally accessible consultation form can benefit practitioners and patients in more ways than one. Patients will appreciate that they can answer it at home or on the go on any gadget they have on hand. On the other hand, practitioners can effortlessly access the completed form on any device and securely store it right on a HIPAA-compliant EHR. 

Who typically uses Facial Consultation Forms?
Who typically uses Facial Consultation Forms?

Commonly asked questions

Who typically uses Facial Consultation Forms?

Practitioners who do facial consultations and treatments, such as dermatologists, estheticians/aestheticians, and facialists, are the ones who typically use facial consultation forms. 

When are Facial Consultation Forms used?

Generally, they are used before one gathers information on a new patient, updates information on old patients, and knows the reason behind one’s visit. It can also be used as a reference for other practitioners who need to know the condition of a patient’s skin while formulating a treatment. 

How do I consult a client for a facial?

To be sure, you can have the patient complete the facial consultation form template and do a quick interview for any clarifications or additional information not present on the form. 

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