Your electrolysis consultation form,
question by question.

What should an electrolysis consultation form include?

An electrolysis consultation form should say who the client is, take an emergency contact and their GP, then ask whether they smoke, have a pacemaker or another electronic implant, are pregnant, have diabetes, epilepsy or a history of keloid scarring, or take blood thinners. Add bleeding disorders, metal pins or plates and skin conditions, and record the patch test, the area and any photos. It ends with the aftercare, their consent and a signature with the date, and a parent’s signed consent for a minor. Check the final wording with your insurer.

We make Covered Beauty, which has a ready-made electrolysis form, so we’ve said where it fits. Nothing here is legal or medical advice. Your insurer’s rules and your equipment manufacturer’s instructions come first.

What does our electrolysis form ask?

Every ready-made form in Covered Beauty starts with the client’s full name, date of birth and home address, so the signed form stands on its own as a record. Then the electrolysis form asks:

• Emergency contact (name and relationship) (written answer)
• GP name (so we can follow up if needed) (written answer)
• Do you smoke? (yes or no)
• Do you have a pacemaker or any other electronic medical implant? (yes or no)
• Are you pregnant? (yes or no)
• Do you have diabetes, epilepsy, or a history of keloid scarring? (yes or no)
• Are you taking blood-thinning medication? (yes or no)
• I understand the aftercare advice given and agree to follow it. (a tick to agree)
• I confirm the information I’ve given above is accurate, and I consent to this treatment. (a tick to agree)

Its note to the client says the treatment uses a fine needle and a small electrical current, so the main risks are a small chance of scarring or pigment change if an area is overtreated, and interference with pacemakers or similar implants.

Because it’s a needle treatment, the form also opens with a stronger note for you: check it against your insurer’s requirements and your professional body’s guidance before you switch it on. Clients never see that note, and it isn’t on the signed form.

Which answers stop a treatment?

The national occupational standard for electrical epilation sorts contraindications into two lists. It isn’t law, but qualifications are built on standards like it.

• Those that prevent treatment: pacemakers, haemophilia and cochlear implants.
• Those that restrict it: psoriasis, eczema, acne, epilepsy, diabetes, metal pins and plates, and infectious and contagious disease.

Our form asks about pacemakers and other electronic implants, diabetes and epilepsy, along with keloid scarring and blood thinners. The standard lists redness, swelling, blanching, bleeding and bruising among the reactions to expect, so tell clients on blood thinners what they might see. It doesn’t ask about bleeding disorders, metal pins or plates, or skin conditions, so you might add questions like these:

• Do you have haemophilia or another bleeding disorder?
• Do you have any metal pins or plates in your body?
• Any psoriasis, eczema, acne or other skin condition on the area?
• Do you have an infection, or anything catching, at the moment?
• Is there a mole in the area you’d like treated?
• How have you removed hair from this area until now?
• Has your hair growth changed recently, or have you seen your GP about it?

The last two matter for the treatment plan. The standard has you look at the client’s medical history, the cause of the hair growth and how they’ve managed it so far, and encourage them to see their doctor where the cause may be medical. On moles, BABTAC’s Good Practice Guide, from 2016, is the trade body’s guidance for its members. It excluded hair removed from moles without a GP’s consent from its advanced electrolysis cover.

How do you record the patch test and photos?

The standard asks you to carry out a test patch before treatment, following your own salon’s requirements, to explain how the treatment will feel, and to take photos of the area. It also has the client’s record signed by you and by them.

• Our electrolysis form doesn’t ask about a test patch. Add a yes or no question such as “Have you had a patch test with us, with no reaction?”
• Call it a patch test in the question, as above: any question that mentions a patch test is asked fresh at every visit, never carried over from last time.
• Write the date, the area, the needle and the result in the client’s notes.
• Ask for photos separately, with their own tick that starts unticked, and say where the photos will be kept.

What about younger clients?

The standard asks for a parent’s or guardian’s signed consent before treating a minor, and notes that the age someone counts as a minor differs between the UK’s nations. It also asks for a parent or guardian to be there throughout for anyone under 16. Every form asks for the client’s date of birth, so you’ll see their age before you start. Add a line for the parent’s name and signature if you treat teenagers, and check your insurer covers it: BABTAC’s 2016 guide excluded under-16s without a parent’s consent.

Do you need a licence for electrolysis?

In England, section 15 of the Local Government (Miscellaneous Provisions) Act 1982 says that where a council has brought it in, nobody may carry on an electrolysis business unless they’re registered with the council, and only in premises registered for it. It covers tattooing, semi-permanent makeup and cosmetic piercing too.

In Wales, electrolysis is one of four special procedures under the Public Health (Wales) Act 2017. Since 29 November 2024, section 58 has meant anyone doing it to someone else in the course of a business needs a special procedure licence, unless exempt. In Scotland and Northern Ireland, ask your council what applies.

How do you get it signed before they arrive?

Electrolysis is a course of short visits, and a clipboard every time eats into them. Covered Beauty gives you three ways to have the form done before you start:

• With their booking. Link the form to your electrolysis treatments and it goes out with the confirmation, with a reminder 48 hours before if it isn’t done.
• A private link. Email it, or copy it into WhatsApp or a text. It works for 14 days and only for that client.
• On your phone or tablet. Set a kiosk PIN, then use Hand to client. It shows only their forms until someone from your team enters the PIN.

When the form comes with a booking and the client filled in the same form in the last 6 months, they see their previous answers and confirm nothing has changed, then sign again, so a client back every week isn’t retyping their GP. If something has changed, they fill in the whole form afresh. Forms sent as a private link or handed over on your tablet are always filled in fresh, so whoever holds the device never sees another client’s earlier answers.

The signed form lands on the client’s record, ready to print or download as a PDF, and Covered Beauty keeps it for 7 years from the appointment, or from the day it was signed for a form filled in without a booking, while your account is open. See how online consultation forms work. Try the electrolysis form free for a week, with no card needed. Forms are on both plans, from £9 a month.

Download the free blank form

It’s an A4 PDF with every question our form asks (listed above), boxes to tick yes or no, a line for your business name, and lines for the client’s signature and yours with the date. The extra questions we suggest aren’t on it, so write in the ones you need. The foot of each page says it’s a free template from Covered Beauty. Print it, keep a few on a clipboard, and check the wording with your insurer first.

• Electrolysis consultation form (PDF)

Paper still means the client fills it in once they’re in your room. Send this form before they arrive, free for a week, with no card needed.

Sources

Each page was read on 24 October 2026. Our own form questions are printed as Covered Beauty’s ready-made forms ask them today.

• National Occupational Standard SKABT26: Provide electrical epilation
• BABTAC Good Practice Guide 2016 (PDF)
• Local Government (Miscellaneous Provisions) Act 1982, section 15 (legislation.gov.uk)
• Public Health (Wales) Act 2017, section 57 (legislation.gov.uk)
• Public Health (Wales) Act 2017, section 58 (legislation.gov.uk)

Other consultation form guides

Every free blank form, sorted by treatment, is on free salon consultation form templates. Or read what to put in a consultation form for:

• a new client’s medical history
• lash extensions
• lash lifts and lash tints
• brow lamination, tint and henna
• nails
• waxing
• hair extensions
• semi-permanent makeup and microblading
• dermaplaning
• facials, peels and LED
• massage
• spray tans
• sunbeds