Patient Details
Full legal name, date of birth, contact information and emergency contact; used to match identity and medical records.
A complete informed consent reduces clinical risk, clarifies expectations, and documents the client’s voluntary decision. Electronic execution is legally supported under the ESIGN Act (15 U.S.C. ch. 96) and UETA in most states, but some exceptions and consumer-disclosure rules can apply.
Estheticians, clinic managers, and supervising medical providers typically prepare the form; clients and guardians are the usual signers.
Maintain a signed copy in the client record and follow state licensing board guidance for provider documentation and retention.
Full legal name, date of birth, contact information and emergency contact; used to match identity and medical records.
Relevant conditions, medications, allergies, pregnancy status and prior procedures that could alter risk or contraindicate treatment.
Clear description of the treatment, steps involved, expected effects and typical recovery timeline so the client understands what will happen.
Material risks, common complications, and reasonable alternative treatments — presented in plain language to support informed choice.
Aftercare steps, warning signs requiring contact, and follow-up visit recommendations to help manage recovery and outcomes.
Space for client signature, date, printed name and provider attestation; note if guardian or translator signed on client’s behalf.
| Field | Configuration |
|---|---|
| Patient Identifier Field | Required; set to exact-match validation where possible. |
| Allergy and Medication Fields | Make editable text areas and required for clinical clearance. |
| Signature Field | Set as required; include date and identity capture. |
| Authentication Method | Choose email link, SMS code, or enhanced ID verification as needed. |
Not all e-signature setups are equal; choose settings that secure identity, maintain an audit trail, and meet privacy rules.
Verify platform compliance (HIPAA BAA if needed) and confirm records export formats meet your EMR or practice management requirements.
Consent must be signed before any procedure begins.
Guardian signature required for clients under 18 unless state law provides an exception.
Update consent if procedure, device, or risks change prior to treatment.
Post-procedure signatures do not substitute for pre-procedure informed consent.
Retention timelines begin on the consent date or treatment date as stated by policy.
| Criteria | Esthetician Consent | Medical Consent |
|---|---|---|
| Typical Fields | procedure, risks | procedure, diagnosis |
| HIPAA Notice | sometimes | usually |
| Provider License | ||
| Notarization | rarely |
Export signed consents as PDF/A for long-term archival and to preserve a tamper-evident appearance with embedded audit data.
Include the platform’s certificate of completion or audit trail when saving to ensure signer attribution is preserved.
Push completed forms to your EMR in PDF or structured data formats to maintain a single clinical record per client.
Keep encrypted backups with role-based access controls to meet privacy and business-continuity requirements.
A client requests a chemical peel and receives a pre-visit questionnaire and consent
A parent schedules treatment for a 16-year-old and completes guardian authorization in advance
| signNow | DocuSign | Adobe Sign | PandaDoc | HelloSign | |
|---|---|---|---|---|---|
| Starting Price | $8/user/mo | $15/user/mo | $14/user/mo | $19/user/mo | $15/user/mo |
| Free Trial | 7-day free trial | Varies | Varies | Varies | Varies |
| Bulk Send | Yes | Yes | Yes | Yes | No |
| Audit Trail | Yes | Yes | Yes | Yes | Yes |
| HIPAA Compliant | Yes | Yes | Yes | No | No |