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Esthetician Client Intake Form

Esthetician Client Intake Form Template for Malaysia

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Key Requirements PROMPT example:

Esthetician Client Intake Form

"I need an Esthetician Client Intake Form for my new luxury spa opening in Kuala Lumpur in January 2025, with emphasis on high-end facial treatments and enhanced data privacy measures for VIP clients."

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Document background
The Esthetician Client Intake Form is a crucial document used in Malaysian beauty and wellness establishments to gather essential client information before providing skincare or aesthetic services. This form serves multiple purposes: it collects client personal data, medical history, and skin concerns; establishes informed consent for treatments; and ensures compliance with Malaysian regulations, particularly the Personal Data Protection Act 2010 and relevant healthcare guidelines. The document is designed to protect both the service provider and client by identifying potential contraindications to treatment and documenting the client's acknowledgment of risks. It should be completed before the first treatment and updated periodically to maintain accurate records.
Suggested Sections

1. Personal Information: Basic client contact details including name, address, phone, email, date of birth, and emergency contact

2. Medical History: Comprehensive health information including current medications, allergies, and medical conditions that could affect treatment

3. Skin Assessment: Current skin conditions, concerns, and treatment history

4. Lifestyle Factors: Information about sun exposure, skincare routine, and other lifestyle factors affecting skin health

5. Treatment Consent: Client acknowledgment and consent for treatments, including risks and potential reactions

6. Privacy Policy Agreement: PDPA compliance statement and client consent for data collection and usage

7. Client Declaration: Statement confirming all information provided is accurate and acknowledgment of responsibility to update any changes

Optional Sections

1. Pregnancy Status: Additional section for female clients regarding pregnancy or nursing status, used when offering services that may be affected by pregnancy

2. Photography Consent: Optional permission for before/after photography, used when the establishment wishes to document results

3. Marketing Preferences: Client preferences for receiving promotional materials and updates, used for marketing purposes

4. Previous Cosmetic Procedures: Detailed history of professional treatments and procedures, used for more complex treatment plans

5. Product Sensitivity Test: Agreement to perform patch tests for new products, used when introducing new treatment products

Suggested Schedules

1. Treatment Menu: List of available services and treatments offered

2. Contraindications List: Detailed list of conditions that may prevent certain treatments

3. Aftercare Instructions: Standard post-treatment care guidelines

4. Product Ingredients List: Common ingredients used in treatments for allergy reference

5. Cancellation Policy: Terms and conditions regarding appointment cancellations and rescheduling

Authors

Alex Denne

Head of Growth (Open Source Law) @ ¶¶Òõ¶ÌÊÓƵ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co
Relevant legal definitions




















Clauses
















Relevant Industries

Beauty and Wellness

Spa Services

Medical Aesthetics

Cosmetic Services

Health and Personal Care

Professional Services

Healthcare Support Services

Relevant Teams

Legal

Compliance

Customer Service

Operations

Quality Assurance

Treatment

Front Desk

Medical Advisory

Risk Management

Client Relations

Relevant Roles

Esthetician

Spa Manager

Beauty Therapist

Salon Owner

Compliance Officer

Medical Aesthetic Practitioner

Client Service Manager

Quality Assurance Specialist

Treatment Coordinator

Wellness Consultant

Industries







Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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