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.