Chemical Peel Consent Form | Fillable PDF Client Consent | Aesthetics Clinic Template
DIGITAL DOWNLOAD — no physical item.
A clinic-grade Chemical Peel Client Consent Form for beauty & aesthetics practitioners. Designed to support clear informed consent, professional record-keeping, and safe client care.
💻 **Digital (Interactive) Options:**
• Branded Interactive PDF – fill out on screen using Adobe Acrobat or any compatible PDF reader. Branding in the footer.
• Label-free Interactive PDF – digital use with no branding, can be completed and saved online or printed later. Branding removed from footer.
What you’ll receive
1 x Fillable PDF (Interactive) (3 pages)
Complete on-screen using Adobe Acrobat or another compatible PDF reader. Save a copy to your client records.
What’s inside (sections)
- Personal details + treatment date
- Plain-language treatment overview (what a chemical peel is)
- Consent statements covering: medical disclosure, understanding of procedure, potential side effects, aftercare responsibility, progressive treatment/course, and no guarantee of results
- Pregnancy/breastfeeding declaration
- Acknowledgement of risks (including increased risk if aftercare isn’t followed)
- Data protection & privacy (GDPR) statement
- Optional photography consent (clinical records + optional anonymised marketing use)
- Client + practitioner signatures and dates
Ideal for
New clinics, mobile/home-based practitioners, and established practices wanting consistent, professional consent documentation.
Important notes
This is a fillable PDF. Some phone preview apps don’t support fillable fields well—Adobe Acrobat is commonly used.
✨ Includes updated versions if the system is refined
🔒 For personal business use only — not for resale or redistribution
📥 Instant download after purchase
🛍️ Need more forms? This is also part of the Chemical Peel Starter Admin Pack!