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Complete Intake Forms Early

New Clients: Please complete your intake, consent, photo release, and aftercare forms before your first appointment. These forms help Blue Sky Electrolysis understand your goals, skin and hair history, comfort needs, and any safety considerations before treatment begins.
 

If you are unsure how to answer a question, you can discuss it during your consultation.

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Returning clients fill out the Returning Client Form

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Make sure you are logged in so your answers attach to your account!

Blue Sky Electrolysis New Client Intake Form

Please complete this form before your first appointment. Your answers help Blue Sky Electrolysis understand your treatment goals, skin and hair history, comfort needs, and any safety considerations before beginning electrolysis.

Please answer as accurately as you can. If you are unsure about a question, you may leave a note or discuss it during your consultation.

Section 1: Client Identification

Date of birth
Month
Day
Year

Section 2: Treatment Goals

What are your main goals for electrolysis?

You may share comfort needs, sensory needs, privacy preferences, language preferences, positioning concerns, or anything else that would help your appointment feel respectful and comfortable.

Section 3: Previous Hair Removal

Have you had laser hair removal before?
Yes
No
Not Sure
Have you had electrolysis before?
Yes
No
Not Sure
Which hair removal methods have you used in the last 6 months?

Section 4: Skin History

How would you describe your skin's response to the sun?
I Usually Burn And Rarely/Never Tan
I Burn Easily And Tan Minimally
I Sometimes Burn And Gradually Tan
I Rarely Burn And Tan Easily
I Rarely/Never Burn And Tan Deeply
I Am Not Sure
Current skin conditions or skin history
Are you prone to any of these skin reactions?
Do you have allergies or sensitivities to latex, adhesives, topical creams, antiseptics, metals, or skin products?
Yes
No
Not Sure

Section 5: Medical History

Have you been treated for or diagnosed with any of the following?

Section 6: Medications and Products

Are you currently taking any medications or supplements that may affect skin, bleeding, healing, pain sensitivity, or immune response?
Yes
No
Not Sure
Have you used any of the following?
Are you currently pregnant or breast- or chest-feeding?
No
Yes
Prefer To Discuss Privately

Section 7: Intake Acknowledgment

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Date
Month
Day
Year

Electrolysis Consent Form

This form is for Blue Sky Electrolysis clients to review and sign before receiving electrolysis treatment.

Section 1: Client Identification

Section 2: Consent Information

Electrolysis is a method of permanent hair removal. A fine sterile probe is inserted into the natural opening of the hair follicle, and a small amount of electrical current is used to target the cells responsible for hair growth. The treated hair is then gently removed.

Electrolysis may use different methods, including thermolysis, galvanic electrolysis, or blend electrolysis. The method used may depend on the treatment area, hair type, skin response, comfort, and professional judgment.

I understand that electrolysis requires consistency over time because hair grows in cycles. The number of sessions needed varies by person and may depend on the treatment area, hair density, previous hair removal methods, hormones, medications, skin response, and appointment consistency.

I understand that possible temporary side effects may include redness, swelling, tenderness, warmth, small scabs, bruising, irritation, dryness, pigment changes, or ingrown hairs. Rare risks may include infection, scarring, or prolonged skin irritation.

I understand that results cannot be guaranteed by a specific date or number of sessions. Electrolysis can permanently remove successfully treated follicles, but new or previously inactive hairs may appear over time, especially when hair growth is influenced by hormones or other medical factors.

I agree to follow before-care and aftercare instructions and to inform Blue Sky Electrolysis of any health, medication, skin, or treatment-area changes that may affect my care.

I consent to receive electrolysis treatment from Blue Sky Electrolysis.

Section 3: Required Consent Checkboxes

Section 4: Signature

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Date
Month
Day
Year

Photo Release & Treatment Documentation Consent

Blue Sky Electrolysis may request photographs of the treatment area to support treatment planning, track progress over time, maintain accurate client records, and document treatment for business and liability purposes.

Blue Sky Electrolysis may also request permission to use certain non-identifying photos for promotional, educational, website, social media, or advertising purposes. Promotional use is optional and requires separate permission.

Blue Sky Electrolysis will never take photographs of genitalia or photographs related to pre-operative bottom-surgery electrolysis procedures. Blue Sky Electrolysis does not currently offer pre-operative bottom-surgery electrolysis.

Treatment documentation photos are kept as part of the client's business record and are used internally by Blue Sky Electrolysis. These photos may help document the treatment area, skin response, hair reduction progress, treatment planning, and any relevant before-and-after changes.

Promotional photos, if permitted by the client, will be used only in a non-identifying way unless the client separately chooses to identify themselves, such as through a public review, testimonial, or written statement. Non-identifying promotional photos may include close-up photos of a treatment area, before-and-after progress photos, or other images that do not include the client's face, name, full body, tattoos, distinctive jewelry, or other identifying features unless the client gives separate written permission.

Clients may decline promotional photo use and still receive services. Clients may also ask Blue Sky Electrolysis not to take promotional photos at any time.

Section 1: Client Identification

Date of birth
Month
Day
Year

Section 2: Treatment Documentation Photos

Treatment documentation photo permission
I Agree To Treatment Documentation Photos
I Do Not Agree To Treatment Documentation Photos

Section 3: Promotional Photo Use

Promotional photo use permission
I Agree To Non-Identifying Promotional Photo Use
I Do Not Agree To Promotional Photo Use

Section 4: Identifying Information

Blue Sky Electrolysis will not use my name, face, full body, tattoos, distinctive jewelry, or other identifying features for promotional purposes unless I separately choose to identify myself through a review, testimonial, or separate written permission.

Section 5: Genitalia and Pre-Op Bottom-Surgery Photos

Section 6: Right to Ask Questions or Change Preferences

I understand that I may ask questions before any photos are taken. I also understand that I may change my photo preferences going forward by notifying Blue Sky Electrolysis in writing. Changing my preferences may not remove promotional materials that were already printed, posted, shared, or distributed before Blue Sky Electrolysis received my written request, but Blue Sky Electrolysis will make reasonable efforts to stop future use.

Section 7: Signature

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Date
Month
Day
Year

Pre-Treatment & Aftercare Acknowledgment

This form is for Blue Sky Electrolysis clients to review and sign before receiving electrolysis treatment. Please read each section carefully before completing the acknowledgment below.

Section 1: Client Identification

Section 2: Pre-Treatment Instructions

Please review these instructions before your appointment. Following before-care and aftercare guidance helps reduce irritation and supports better treatment outcomes.

Before your appointment:

  • Make sure the hair is long enough to see and gently remove after treatment. If you are unsure whether to shave or trim, ask before your appointment.

  • Do not wax or tweeze the treatment area before electrolysis. The follicle needs to be present for treatment.

  • Arrive with clean skin. Avoid heavy lotions, oils, or makeup on the treatment area.

  • Try to be hydrated and eat before your appointment.

  • Avoid excessive caffeine or alcohol before your appointment if these increase your sensitivity.

  • Avoid sunburn or significant sun exposure on the treatment area before your appointment.

  • Do not use strong retinoids or irritating skin products on the treatment area before electrolysis unless Robin has told you it is okay.

  • If you use topical numbing cream, follow the product or prescriber instructions and let Robin know before treatment begins.

Section 3: Aftercare Instructions

After your appointment:

  • Do not touch, scratch, or pick at the treated area with unwashed hands.

  • Keep the area clean and allow the skin to calm.

  • Avoid makeup, deodorant, fragranced products, exfoliants, retinoids, or harsh products on the treated area for at least 24 hours unless otherwise directed.

  • Avoid heavy sweating, hot tubs, pools, saunas, tanning, and direct sun exposure for at least 24–48 hours.

  • Mild redness, swelling, tenderness, or tiny scabs can be normal. Do not pick scabs. Let them fall off naturally.

  • If you experience increasing pain, warmth, swelling, pus, spreading redness, fever, or a reaction that feels unusual, contact Blue Sky Electrolysis and seek medical care if needed.

  • Do not tweeze or wax between appointments. If needed, hair may be shaved, clipped, or trimmed.

Section 4: Required Acknowledgments

Section 5: Signature

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Date
Month
Day
Year

Returning Client Form

Welcome back! Please take a moment to update us about any changes since your last appointment. Your responses help us provide you with the safest and most effective care.

If different from your legal name or if you would like us to use a specific name.

Has anything changed since your last appointment?
No Changes
Yes, Something Has Changed

Has anything changed since your last appointment, including medications, skin condition, health history, pregnancy/breast or chestfeeding status, allergies, or treatment area?

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Date
Month
Day
Year
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