Aesthetics Model Consent Form

Covid-19 Screening

To ensure the safety of all parties and to stop the further spread of the Covid-19 virus, please complete the below questions as honestly and accurately as possible prior to your appointment date.

Appointment Guidance

  • If you have answered yes to any of the above questions we will be in contact as you may need to reschedule your appointment with us.
  • Please only attend at your appointment time.
  • Please ensure you are on time - if you are late this may result in your appointment being cancelled.
  • Please attend your appointment unaccompanied.
  • Please limit the personal possessions you bring with you.
  • Please wear a face mask/covering to your appointment.
  • Upon arrival please wait until you are called forward to reception.
  • Upon arrival please use the hand sanitiser provided.
  • Please maintain social distancing where possible.
  • If you experience Covid-19 symptoms after your appointment please contact us immediately.

Tap or click on the signature above to sign

Model's Details


I consent to acting as a model for the purpose of training practitioners / aestheticians / therapists (under supervision) in the administration of the treatment named above. The use and indications for the products that I will be treated with have been explained to me by the practitioner and I have had the opportunity to have all my questions answered to my satisfaction.

I have signed a separate product specific consent form, as well as a medical history form. I have answered the questions regarding my medical history to the best of my knowledge.

I consent to my photographs being stored on a training file.

Tap or click on the signature above to sign

Tap or click on the signature above to sign