1. Templates
  2. Beauty
  3. Laser & Electrolysis
  4. Laser Hair Removal Medical History Form

Laser Hair Removal Medical History Form

A laser medical history template — screen for the conditions, medications and recent sun or waxing that affect whether laser is safe.

Description

Laser is safe in the right hands, and a thorough medical history is a big part of what makes it so. This form screens for the things that matter before a single pulse: conditions like diabetes, epilepsy, photosensitive disorders, a history of skin cancer or keloid scarring, pregnancy, a pacemaker, cold sores, or hormonal conditions such as PCOS that affect hair growth. Two behaviour questions sit alongside the medical ones because they’re just as important for laser. Recent sun exposure, a sunbed or fake tan makes treating darker-looking skin riskier, and waxing, plucking or threading in the past few weeks removes the hair root the laser needs to target. Asking about both, plus a free-text field for photosensitising medications like certain antibiotics, retinoids and even St John’s Wort, means you catch the common reasons to postpone before the client arrives. Have every client complete it before their course and refresh it over time. It’s free, brand-styled, and turns a safety-critical screen into a clear, dated record on the client’s file.

Form fields

Everything the Laser Hair Removal Medical History Form above collects — 8 fields, so you can see exactly what it captures before you make it your own.

Laser Hair Removal Medical History

  • Your name

    Name Icon
    Name
  • Email address

    Email Icon
    Email
  • Date of birth

  • Medical history

    Multi-Select Icon
    Multi-Select
  • Current medications — especially antibiotics, retinoids, Roaccutane or St John's Wort

    Long Answer Icon
    Long Answer
  • Have you had sun exposure, a sunbed or fake tan on the area in the last 2–4 weeks?

    Yes/No Icon
    Yes/No
  • Have you waxed, plucked or threaded the area in the last 4–6 weeks?

    Yes/No Icon
    Yes/No
  • Accuracy

    Consent Icon
    Consent
Use Template Arrow Right Icon

Template FAQs

Common questions about the Laser Hair Removal Medical History Form — what it captures, when to use it, and how to make it your own.

Why is a medical history essential for laser?

Because several conditions and medications make laser unsafe or less effective, and some aren’t visible. Screening for them in advance lets you treat safely, adapt settings, or advise against treatment where needed.

Why ask about recent sun, sunbeds and fake tan?

Because they darken the skin, and treating tanned or falsely-tanned skin raises the risk of burns and pigment changes. Most clinics ask clients to avoid them for weeks before and during a course.

Why does recent waxing or plucking matter?

Because laser targets the hair root, and waxing, plucking or threading removes it. Clients need to let the hair grow from the root (shaving is fine) for the laser to work, so recent removal means postponing.

Which medications should clients mention?

Anything photosensitising in particular — some antibiotics, retinoids, Roaccutane and St John’s Wort — plus anything else they take. The open field is there to capture them so you can judge suitability.

How often should it be completed?

At the start of a course and refreshed periodically, since health and medications change. The accuracy declaration also asks clients to report changes before each session.

Is the form free?

Yes. It’s free with a Fun Forms account, fully brandable, and ready to complete on a tablet or via a link before treatment.