Salon Client Consultation Card Example
Example document for Salon Client Consultation Card. Use this as a reference when creating your own.
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Document: Salon Client Consultation Card
Example Document
Last updated 7/30/2026
SALON CLIENT CONSULTATION CARD
Client Information Full Name: Sarah Michelle Jenkins Address: 42 Wallaby Way, Bondi, NSW, 2026 Phone: 0412 345 678 Email: sarah.j@example.com Date of Birth: 12/05/1992 Emergency Contact: David Jenkins (Husband) Phone: 0412 999 888
Medical History & Safety Check
- Do you suffer from high or low blood pressure? [X] Yes [ ] No (Low)
- Do you have epilepsy, diabetes, or heart conditions? [ ] Yes [X] No
- Do you have a pacemaker or metal implants? [ ] Yes [X] No
- Are you pregnant or breastfeeding? [ ] Yes [X] No
- Do you wear contact lenses? [X] Yes [ ] No
Allergies & Sensitivities Please list any known allergies to foods, medications, or products (e.g. ammonia, peroxide, latex, plants). Allergic to Penicillin. Sensitive to strong Ammonia fumes.
Skin & Hair History Have you had any of the following in the last 6 months?
- Surgery? [ ] Yes [X] No
- Skin treatments (peels, microdermabrasion, laser)? [ ] Yes [X] No
- New medication (including Accutane/Roaccutane)? [ ] Yes [X] No
- Hair colouring, perming, or relaxing (at home or salon)? [X] Yes [ ] No (Home box dye 2 months ago - Dark Brown)
Consultation Notes Current Condition of Hair/Skin: Mid-length, thick hair. Ends are dry. Previous home dye has grown out about 3cm. Roots are level 5 natural light brown. Client Request / Desired Outcome: Wants to remove the box dye and return to a natural Balayage look. Does not want to look "stripped". Professional Recommendation: Colour correction will take time. We will do a full head of highlights today using low volume developer to minimize damage. We will tone to a caramel beige. Service Agreed: Full Head Balayage + Toner + Treatment Product / Formula Used:
- Product: Lightener X
- Developer: 20 Vol (6%)
- Timing: 45 mins
- Toner: Silver Blue, level 9
Financial & Privacy Consent Total Cost Estimate: $ 280.00 Deposit Required: $ 50.00
I consent to the collection of my personal information... Client Signature: S. Jenkins Date: 15/10/2023
I consent to receive promotional emails... [X] Yes [ ] No
Service Provider Details Staff Name: Bella Signature: Bella Date of Next Appointment: 12/12/2023
Notes
Key Decision Notes:
- Medical Alert: Client noted low blood pressure. Staff should ensure client is offered water and does not get up too quickly from the wash basin to prevent fainting.
- Allergy Alert: Client sensitive to ammonia. Staff should ensure good ventilation during the lightening process.
- Hair History: Box dye is a major risk factor. The recommendation of low volume developer mitigates the risk of breakage on previously coloured hair.
- Consent: Client explicitly agreed to marketing, allowing the salon to legally send SMS offers under the Spam Act.
About this Example
Part of the Salon Client Consultation Card document collection
Document Type
Salon Client Consultation Card
A record keeping tool used by beauty and hair professionals to note client needs, medical history, and service details to ensure safety and service quality.