Client Consultation, Contraindications, and Documentation
The consultation is a legal document
The intake form captures contact information, medical history, medications, allergies, pregnancies, prior reactions, and current home care. Ask open-ended questions, then record what you observe. Obtain informed consent for each service, and explain what the client should expect, including possible redness or sensitivity.
Contraindications to memorize
Isotretinoin (Accutane): no waxing and no aggressive exfoliation; standard teaching is to wait about six months after the last dose. Topical retinoids, AHA/glycolic, and benzoyl peroxide: pause several days before waxing or exfoliation, per the product directions. Anticoagulants and blood thinners: bruising and bleeding risk with extractions and waxing. Photosensitizing medications (some antibiotics such as tetracyclines): avoid sun and light-based services. Pregnancy: avoid high-percentage acids, certain essential oils, and overheating. Active cold sore, open lesions, sunburn, recent surgery or peel: postpone.
Patch tests and records
Patch test 24โ48 hours before tinting, adhesive lash services, or a new product line, and document the result. Chart with SOAP: Subjective (what the client reports), Objective (what you observe and measure), Assessment (skin type, Fitzpatrick, findings within your scope), Plan (products, steps, home care, next appointment). Record product names and percentages, timing, temperature, reactions, and any referral.
Traps: writing a diagnosis in the chart; vague entries like 'skin looked good'; failing to note a refused service or a reaction; assuming a verbal 'no allergies' replaces a patch test.
Rule of thumb: if it is not written down, it did not happen - and if you are unsure whether a medication is a contraindication, reschedule or verify with the prescriber.