Injectables Client Intake Form – Editable Digital Download

Streamline your client onboarding with this professionally written, legally sound Injectables Client Intake Form designed specifically for aesthetic clinics, nurse injectors, and medspas.

This comprehensive and easy-to-complete form collects all essential health, lifestyle, and treatment history details to ensure safe and customized injectable treatments. It includes checkboxes, multiple-choice selections, and open-text fields for efficient, organized record-keeping — perfect for both in-clinic and virtual use.

Perfect for: ✔️ Aesthetic nurses & nurse practitioners ✔️ Medspa owners & cosmetic clinics ✔️ Clinics offering Botox®, dermal filler, Sculptra®, PRP/PRF, and skinboosters ✔️ Those seeking a professional, done-for-you form that aligns with industry and medical standards

What’s Included: • 1 Editable Injectables Client Intake Form (PDF format) • Complete medical history + allergy + medication checklist • Treatment interest and area-specific selection lists (Botox, filler, Sculptra, PRP/PRF, skinboosters, IV therapy) • Special considerations section (e.g., nerves, upcoming events, phobias) • Clear patient acknowledgment and signature section • Ready to print or upload to intake platforms (Jane App, JotForm, PDF fillable)

File Format: PDF (editable in Adobe or your preferred PDF editor)

✨ Save time, stay organized, and ensure every treatment is safe and tailored — all with one download.