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Skin care consultation forms

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Skin assessment consultation form | DIY fillable PDF + editable Canva template

Skin assessment consultation form

This digital download product includes:

5 pages | pdf, pdf fillable | editable Canva template

portrait page layout


Summary: Use this consultation form to assess your client’s skin problems, goals and needs, and then focus on appropriate facial treatments and skin care routine recommendations.


This form is best suited for:

  • Holistic facialist
  • Practicing facialist
  • Facial therapist
  • Consulting/practicing aromatherapist
  • Holistic aesthetician

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Details of the 4 page form include:

🌿 Contact information

🌿 Areas of concern to client

🌿 Current routine

🌿 Quick medical questions

🌿 Allergies checklist

🌿 Lifestyle questions

🌿 Consent form


The form allows you to explore lifestyle habits and current skin care routines of your client, and track any potential medical issues which may influence the skin health of your client. (4 pages).

The 5th page is a separate listing of product recommendations made by you following the consultation.

The form is gender neutral, but does have some questions that will be specific to women. There is space provided for any additional notes that should be made.

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To use the fillable form versions you will need to use Adobe reader.

Both of the fillable versions are also available for download as regular PDF files

Please ensure that the form will fit your needs.


**Updated version includes an editable Canva template**

To use and edit the template you will need a Canva account (free version is okay to use).

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Do you need a more comprehensive client intake form?

We have a client intake form here: https://payhip.com/b/yBukm

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Note: This product is also part of a forms bundle package:


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Returns & exchanges

I don’t accept returns, exchanges or cancellations, but please contact me if you have any problems with your order. My goal is to ensure that you understand what you are getting and are happy with your purchase.

Terms of use

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This product is for your private business only. You can use it for your clients but please do not share it with anyone else.

This product is copyrighted by Deanna Russell and may not be copied or reproduced.

You will get the following files:
  • PDF (775KB)
  • PDF (106KB)
  • PDF (364KB)
  • PDF (479KB)