Are you thinking of offering microblading services at your salon? Before picking up the blade, it is important to protect your business and your client with a consent form.
This free microblading consent form template is designed to capture essential client information, including medical history, information regarding the procedure, and client signatures.
We’ve designed the forms in Google Docs and they are 100% free to use.
Usage Note: These templates are free to use for both personal and commercial purposes. However, redistribution, resale, or uploading these templates to other websites or platforms for download or sale is strictly prohibited. Please respect the effort that went into creating these resources by using them responsibly.
Microblading Consent Form Template (B&W)
This is a comprehensive consent form where we start by gathering all the information regarding the procedure, from client information and health history to post-care instructions and signatures.
This makes it easy for both you and the client, and it also legally protects your business.
This Template Includes the Following Fields:
| Section | Fields Included |
|---|---|
| Client Information | Full Name, Date of Birth, Phone Number, Email Address, Emergency Contact Details |
| Medical History | Yes/No checklist for common conditions (e.g., diabetes, pregnancy, allergies, etc.) |
| Procedure Information | Disclosure of microblading risks, results, and number of sessions |
| Pre-Care Acknowledgment | Confirmation of avoiding alcohol, caffeine, blood thinners, tanning, etc. |
| Aftercare Agreement | Agreement to follow specific post-procedure care instructions |
| Consent and Release | Legal language releasing liability and confirming voluntary participation |
| Photography Consent | Optional checkbox for marketing/photo use approval |
| Client Signature Section | Client Signature and Date |
| Technician Section | Technician Name, Procedure Date, Pigment(s) Used, Notes, Technician Signature |
Microblading Consent Form Template (Color)
