Aesthetic Treatment Intake & Consent
Professional aesthetic treatment intake and consent form for Swiss clinics. Covers Botox, fillers, laser, chemical peel — medical history, contraindications, current medications, expected outcomes and signature. Compliant with Swiss nFADP and GDPR Art. 9.
About this template
This Aesthetic Treatment Intake & Consent form is designed for medical aesthetic clinics, beauty clinics and practitioners in Switzerland offering injectable treatments (Botox, dermal fillers), laser treatments, chemical peels and similar procedures. It captures a thorough medical history, identifies contraindications, records current medications and supplements, documents expected outcomes discussed with the practitioner, and collects the client's informed consent signature. All data collection is structured to comply with Swiss nFADP and GDPR Article 9 obligations for sensitive health data.
What this form collects
- Client personal details and date of birth
- Type of treatment requested and target area
- Comprehensive medical history and contraindications
- Current medications and supplements including blood thinners and retinoids
- Known allergies including botulinum toxin, hyaluronic acid, latex
- Pregnancy or breastfeeding status
- Expected outcome and realistic result acknowledgment
- Informed consent signature
Sensitive health data — nFADP and GDPR Art. 9 compliance required
Medical history, medications and allergy information collected in this form constitute sensitive personal data (health data) under both Swiss nFADP and EU GDPR Art. 9. In Switzerland, practitioners must obtain explicit consent for processing health data, implement appropriate safeguards, and limit data use to the stated purpose. Cross-border clinics serving EU residents must also fulfil GDPR obligations.
How to use this template
Use this template
Click 'Use template' to create a copy in your dashboard.
Customise for your clinic
Add your clinic name, logo, practitioner details and any treatment-specific questions.
Send before the consultation
Share the form link with clients at the time of booking so they can complete it at their own pace before arriving.
Review at consultation
The practitioner reviews the completed form during the consultation, discusses expected outcomes and answers questions before treatment begins.
Archive securely
Store all signed consent forms in your secure clinical records system for the period required by applicable cantonal health regulations (typically ten years for medical records).
Aesthetic treatments in Switzerland: regulatory framework and best practices
The provision of aesthetic medical treatments in Switzerland is regulated at both federal and cantonal levels. Injectable treatments such as Botox and dermal fillers are classified as medical procedures and may only be performed by licensed physicians, dentists or, under certain cantonal rules, qualified medical aestheticians supervised by a physician.
Who may perform aesthetic treatments in Switzerland?
Botulinum toxin (Botox) is a prescription-only medicinal product in Switzerland, classified under the Therapeutic Products Act (HMG/LPTh). Its injection must be performed by or under the direct supervision of a licensed physician. Hyaluronic acid dermal fillers and similar injectables are subject to comparable restrictions in most cantons. Laser treatments and chemical peels may be performed by trained aestheticians in some cantons, but always require a risk-adapted protocol and appropriate emergency preparedness.
Key contraindications for injectable treatments
Practitioners must screen for contraindications before any aesthetic procedure. For injectable treatments, absolute contraindications include known hypersensitivity to the product components, active local infection at the injection site, pregnancy and breastfeeding. Relative contraindications include anticoagulant therapy (increased bruising risk), autoimmune disease, active herpes simplex in the treatment area, and certain neurological conditions for botulinum toxin treatments.
Informed consent in aesthetic medicine
Swiss medical law requires that any medical intervention be preceded by comprehensive information about the procedure, its alternatives, expected results, and potential risks. For aesthetic procedures, this includes explaining that results are not guaranteed, that multiple sessions may be required, and that all patients respond differently. The signed consent form is the primary documentary evidence that informed consent was obtained.
Data protection for aesthetic clinics under nFADP
Medical records generated during aesthetic treatments, including consent forms and treatment notes, are subject to the revised Swiss Federal Act on Data Protection (nFADP). Health data must be processed with a documented lawful basis, stored securely for at least ten years, and accessible only to authorised clinical personnel. Clinics must also provide clients with a data protection notice describing their rights under Art. 8 and Art. 32 nFADP.
Frequently asked questions
Is a consent form legally sufficient for aesthetic procedures in Switzerland?
A written consent form is a necessary but not sufficient condition for legal compliance. Swiss medical law requires that the consent process be accompanied by a genuine consultation in which the practitioner provides information in an understandable way, answers the client's questions, and allows adequate time for reflection before the procedure. The form documents this process but does not replace it.
Can a beautician perform Botox injections in Switzerland?
No. Botulinum toxin is a prescription-only medicinal product under Swiss law (HMG) and may only be administered by or under the direct supervision of a licensed physician. Performing injections without a medical licence constitutes an illegal practice of medicine and a violation of the HMG, regardless of the practitioner's aesthetic qualifications.
How long must aesthetic treatment records be kept in Switzerland?
Cantonal health legislation in most Swiss cantons requires medical records including aesthetic treatment records to be retained for at least ten years from the last date of treatment. Records for minors must be kept until at least ten years after they reach adulthood.