[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-242054-105":53,"doc-detail-242054-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","client-intake-form-hair-consent-health-information","Client Intake Form - Hair - Consent & Health Information","","Client intake questionnaire for a hair salon and spa, collecting essential identity, contact, referral, and emergency information. Captures health-related details including physician, insurance carrier, medication use, scalp and hair condition, natural hair status, shampoo and conditioning routines, deep conditioning frequency, and hair-loss history. Gathers hair characteristics such as curl pattern, density, and current length, plus long-term hair goals and items needing improvement. Includes informed consent for services and additional authorization for minor treatment.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/client-intake-form-hair-consent-health-information/242054/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/client-intake-form-hair-consent-health-information/242054.png","ImageObject",442,249,{"name":88,"@type":89},"Gelato","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-08","2026-09-12",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",9,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What information does the client intake form collect for hair services?","Question",{"text":109,"@type":110},"It collects the client’s name, date of birth, address, phone, city, email, referral source, emergency contact, physician, emergency contact phone, and health insurance carrier.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"How does the form assess the client’s hair and scalp condition?",{"text":114,"@type":110},"It asks about current hair length, whether hair is natural, scalp condition (dry/normal/oily), hair condition (healthy/slightly damaged/dry-damaged), curl pattern, hair density, and the current shampoo, conditioning, and deep conditioning frequencies.",{"name":116,"@type":107,"acceptedAnswer":117},"What consent and liability statements are included?",{"text":118,"@type":110},"The client confirms the information is accurate and gives permission for the discussed hair service, acknowledging the salon and stylist are not held accountable for liabilities that may result. It also includes a section to authorize treatment for minors and requires signatures and dates.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},242054,1790617680,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":73,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":9},19241457091524,"https://us-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Date:    \nCLIENT INTAKE FORM-HAIR  \nName   Date ofBirth    \nAddress   State   Zip    \nPhone    \nCity   Email   Referral    \nEmergency Contact   Physician    \nEC Phone    \nHealth Insurance Carrier    \nWhat is your current hair length? Short Ear-Length Shoulder-Length Mid-Back Length Lower Back+  \nIs your hair currently natural? Yes No  \nHow would you describe your scalp? Dry Normal Oily  \nHow would you describe the current condition of your hair? Healthy Slightly Damaged Dry/Damaged  \nShampoo frequency? Daily Weekly Bi-weekly Monthly  \nCondition frequency? Daily Weekly Bi-weekly Monthly  \nDeep condition frequency? Daily Weekly Bi-weekly As Needed  \nAre you currently taking medications? If so, please list:   How would you describe the curl pattern of your hair? Straight Wavy Curly Kinky-Curly Kinky  \nHow would you describe the density of your hair? Fine Medium Thick  \nAre you currently taking any medication that has side effects that can cause hair thinning and/or hair loss? If so, which one(s)?   Do you have now, or have had in the past, any problems with hair loss? Yes No  \nWhat are your long-term hair goals? More Length More Moisture Permanent Color Other:  Is there anything you need to improve your current method of hair care?  \nDaily Regimen Hair Products Eating Habits Water Intake  \nI have read the above information and have given an accurate account of the questions. If I have any concerns, I will address these with my stylist before the service. I give permission to my stylist to perform the hair service we have discussed and will not hold the stylist nor b Salon & Spa accountable for any liability that may result from this treatment. I understand that my stylist will take every precaution to minimize or eliminate negative reactions as much as possible.  \nClient Signature   Date    \nConsent to Treatment of Minor: By signature below, I hereby authorize b Salon & Spa to Administer massage, bodywork or facial to my child or dependent as they deem necessary.  \nSignature of Parent or Guardian   Date    \n\n| DATE | APPT. | NOTES | TECH. |\n| --- | --- | --- | --- |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |","cbCaivMyRem1UULt","https://ap.wps.com/l/cbCaivMyRem1UULt","pdf",88498,"English","# Client Information\n## Hair & Scalp Details\n## Health, Medications & Insurance\n## Hair Care Habits & Goals\n## Consent & Signatures","[{\"question\":\"What information does the client intake form collect for hair services?\",\"answer\":\"It collects the client’s name, date of birth, address, phone, city, email, referral source, emergency contact, physician, emergency contact phone, and health insurance carrier.\"},{\"question\":\"How does the form assess the client’s hair and scalp condition?\",\"answer\":\"It asks about current hair length, whether hair is natural, scalp condition (dry/normal/oily), hair condition (healthy/slightly damaged/dry-damaged), curl pattern, hair density, and the current shampoo, conditioning, and deep conditioning frequencies.\"},{\"question\":\"What consent and liability statements are included?\",\"answer\":\"The client confirms the information is accurate and gives permission for the discussed hair service, acknowledging the salon and stylist are not held accountable for liabilities that may result. It also includes a section to authorize treatment for minors and requires signatures and dates.\"}]","Client Intake Form - Hair - Consent & Health Information | PDF",1789185086]