Microdermabrasion Consent & Liability Waiver

Protect your business — and your clients — before every microdermabrasion treatment.

This professionally drafted microdermabrasion consent form gives estheticians and spa owners a complete, legally informed intake document ready to use from day one. Written by a licensed attorney, it covers every element your consent process should include: informed disclosure of risks, contraindications screening, health history, release of liability, photo authorization, and client signatures — all in a single, clean Word document you can brand and use immediately.

---

What's Included

• 12-section consent form covering the full client intake and informed consent process
• Informed risk disclosure with a complete list of potential side effects and complications
• 17-item contraindications checklist so clients self-screen for conditions that may make treatment unsafe
• 15-question health history questionnaire including medications, skincare products, and prior adverse reactions to exfoliation treatments
• Liability release clause in bold capital letters for maximum enforceability — with a dedicated client initials line
• Photo release with three clear authorization options
• Minor client authorization section for clients under 18
• Pre- and post-treatment care instructions included directly in the form
• Fully editable Word (.docx) format — add your logo, business name, and state in minutes

---

Why Estheticians Choose This Form

Most generic consent form templates found online are one-page documents that weren't written by attorneys — and they show it. This template was built to hold up, not just to look good on a clipboard.

• The liability release is structured to satisfy the three factors courts look for: conspicuous presentation, specific scope, and explicit carve-outs for gross negligence
• The health history questionnaire includes questions that address the real legal exposure in esthetic services — including prior adverse reactions to chemical peels or exfoliation treatments, which courts have cited as a duty-to-inquire standard for beauty operators
• The contraindications section protects you when a client fails to disclose a relevant condition
• Every section has a legal purpose — nothing is filler

---

Who This Is For

• Licensed estheticians in private practice or booth rental
• Med spa and day spa owners adding microdermabrasion to their service menu
• Beauty school clinics offering supervised student services
• Mobile estheticians who need a professional, portable intake process

---

How It Works

1. Download the Word document instantly after purchase
2. Replace [Business Name] and [State] throughout the form using Find & Replace
3. Add your logo and any branding — the layout is designed to accommodate your business identity
4. Print or send digitally before each appointment
5. File the signed original for your records

---

A Note on State Law

Cosmetology licensing requirements and the enforceability of liability waivers vary by state. This template is drafted to apply broadly across U.S. jurisdictions, but we always recommend having a licensed attorney in your state review the form before use if you have questions about state-specific rules.

---

Instant Download — No Subscription Required

One purchase, unlimited use for your business. This is a digital template delivered as an editable Word (.docx) file. No physical product will be shipped.