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
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
Email address

Date of birth
Medical history
Multi-Select
Current medications — especially antibiotics, retinoids, Roaccutane or St John's Wort
Long Answer
Have you had sun exposure, a sunbed or fake tan on the area in the last 2–4 weeks?
Yes/No
Have you waxed, plucked or threaded the area in the last 4–6 weeks?
Yes/No
Accuracy
Consent
No credit card
Unlimited forms
Unlimited results
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.
No credit card
Unlimited forms
Unlimited results







