Client consent and service record form

Use this to separate normal service records from optional consent areas.

SectionWording to adapt
Client detailsName, contact details, address or visit location, emergency contact if relevant.
Service record acknowledgementI understand that [business name] will keep service records needed to provide the service, manage appointments, keep a safe and accurate record, issue invoices, and respond to questions or complaints.
Profession-specific dataconsultation forms, allergy or skin information, patch tests, treatment photos, portfolio use, marketing consent, and service messages kept separate.
Photos or attachmentsI agree / do not agree that photos or attachments may be stored in my client record where needed for [reason]. Marketing or portfolio use needs separate permission.
MarketingI agree / do not agree to receive optional marketing messages. I can withdraw this at any time.