Chemical Peel Consultation Form Template
Collect a complete health and skin history before every chemical peel so you can treat safely and effectively.
Chemical peels require a thorough understanding of the client's skin type, current skincare routine, and any contraindications before treatment begins. Gathering all of that verbally during the appointment is inefficient and easy to document inconsistently. If key information is missed, you're exposing both the client and your practice to unnecessary risk.
A Typeform chemical peel consultation form collects a complete pre-treatment intake before the appointment. Conditional logic routes clients to relevant questions based on their skin type, prior treatment history, or indicated concerns. You get a detailed, structured record before the client walks in, so your consultation time focuses on discussion rather than data collection.
Customize the form to align with your treatment protocols and consent language, add your clinic's branding, and send it to clients as part of your booking confirmation.
A chemical peel consultation form is a pre-treatment intake document that collects a client's skin history, current skincare routine, known sensitivities, and any contraindications. It helps practitioners determine suitability and select the appropriate peel.
Chemical peels carry real risks if applied to contraindicated skin conditions or while a client is using incompatible products like retinoids or certain medications. A thorough intake form ensures you have the information needed to treat safely.
Cover skin history, current routine, and medical context:
- Skin type and primary concerns
- Previous chemical peel or laser treatments and how skin responded
- Current skincare products, especially active ingredients (retinoids, acids, vitamin C)
- Medications including topical and oral (especially Accutane)
- Known allergies or sensitivities
- Recent sun exposure or tanning
- Any history of cold sores (relevant for certain peel depths)
- Informed consent and treatment expectations
Include a consent section at the end of the form with a clear summary of the treatment, potential side effects, and aftercare requirements. Clients tick the agreement field and submit, creating a timestamped digital record. Consult your insurance provider or regulatory body on whether this meets your jurisdiction's requirements.
Yes, or at minimum confirm that their previous information is still current. Skincare routines, medications, and health conditions change. A brief check-in form for returning clients is faster than the full intake but still captures any updates that affect treatment decisions.
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