New Client Intake Form
Capture contact info, allergies, hair/skin history, and consent in one page. Works for stylists, barbers, nail techs, and estheticians.
What's inside
- Contact + emergency contact fields
- Allergy & medication checklist
- Hair / skin / nail history
- Photo + marketing consent line
- Signature + date block
NEW CLIENT INTAKE FORM
Client name: ______________________________
Date of birth: ____________________________
Phone: ___________________ Email: ___________________
Emergency contact (name, relationship, phone): ______________________
REFERRAL
How did you hear about us? __________________________
SERVICE HISTORY
Last service date: ______ Last service performed: ______________________
Current home-care products: __________________________
ALLERGIES & SENSITIVITIES
[ ] Latex [ ] Fragrance [ ] Color/PPD [ ] Adhesives [ ] Other: ______
List medications that affect skin/hair: __________________________
PHOTO & MARKETING CONSENT
[ ] I authorize the salon to take before/after photos of my service and use
them on social media and marketing materials.
CANCELLATION POLICY
I understand a $____ deposit may be required and that cancellations within
24 hours of my appointment may forfeit the deposit.
Client signature: ___________________________ Date: ____________
DISCLAIMER: This template is provided for informational purposes only and does not constitute legal, medical, or financial advice. Have a licensed professional in your jurisdiction review and adapt it before use.FAQ
Can I customize this form?
Yes — every field is plain text. Paste it into Beautifyx Custom Forms or your favorite editor and edit freely.
Is it HIPAA compliant?
It's HIPAA-ready in structure, but compliance depends on how you store the data. Beautifyx encrypts intake data at rest.
Built for every beauty pro — solo, booth renter, mobile, or salon
Take bookings, build a website, and get paid — free to start, card required.
Use new client intake form inside Beautifyx — auto-sent, e-signed, stored with the client.
Whether you rent a booth, work from home, run a mobile business, or own a multi-chair salon — join thousands of beauty pros using Beautifyx to take bookings and get paid.
Everything Beautifyx actually does
One place to run bookings, payments, clients, staff and marketing — built for beauty, wellness and birth professionals.
Online booking
A booking page clients can use 24/7, with deposits, reminders and no double-bookings.
Payments & checkout
Take cards, cash, tap to pay and payment links, with receipts sent automatically.
Client records
Visit history, notes, photos, consent forms and intake forms in one client file.
Marketing & reminders
Automatic appointment reminders, review requests and campaigns to past clients.
Inventory & costs
Track product use per service so you can see the real profit on every appointment.
Your own website
A booking-ready site and public profile that gets you found by new clients.
Start free, grow into the full platform
Pick the door that fits where you are today. All three lead to the same place: a business that books itself.
Claim your free profile
Free profile: add your services, photos and hours so clients can find and book you.
Or read it right now: 7 ways to fill your calendar next week