Nail Salon Client Intake Form (with Free Template)
If the allergy comes up after the bottle is open, it's too late. This is the sheet a US nail salon has the client fill out before the service: contact info, today's service, allergies, a nail note in her own words, diabetes, and circulation. Copy the tables or print the page. She writes in the blank column. The sheet records what she tells you. It is not a diagnosis, and it is not a doctor's note.
Contents · 9 sections
What this form is
A generic client card has a name and a phone number. A nail salon intake form has to cover more: the service, the tech she asked for, and the lines a pedicure chair actually needs before anyone fills the tub. That means allergies, any nail or skin condition she already knows about, diabetes, and circulation or numbness.
As of November 9, 2026, searching for a nail client intake form mostly turns up spa templates, waxing waivers, and one-page PDFs that never mention dip, gel, or a pedicure tub. This page is the nail version, built for a US salon. The rows are fields to fill in. They aren't a score, and they aren't Bukkii data.
The tables on this page are in English, for clients who fill out the sheet in English. The Spanish and Vietnamese versions of this article have the same fields in those languages. The paper's language is for the person in the chair. The phone is a separate job, and the phone voice is covered below.
What it is not
This form is not medical advice. It does not diagnose a nail condition, and it does not clear anyone for a manicure or a pedicure. If she marks diabetes, circulation problems, or numbness, or writes in a nail or skin condition, the line on the form tells her to talk with a doctor before the service. The salon does not decide whether the service is safe. A doctor does. This page does not say which service to refuse.
It is not a state board form. Sanitation, disinfection, and licensing requirements still come from the board that licensed your shop. California publishes its rules through the Board of Barbering and Cosmetology. Texas publishes its cosmetology rules through TDLR. Those two sites are just examples of where a board posts its rules. Go to the board for the state on your license. This page doesn't add any product, soak time, or medical clearance the board didn't write.
It is not a legal waiver. If the shop already has a cancellation note, she initials that she read it. This page does not write that note for you. If the shop wants a separate, copy-ready note, see the cancellation policy for a nail salon. The blank row at the bottom of each table is for any question your shop already asks that this page left out.
When she fills it out
She fills it out while she's waiting, before the service starts, not after the gel is on her nails. The tech reads the allergy line before opening a bottle. Diabetes and circulation get read before a pedicure, not after the tub is filled.
A returning client doesn't need to rewrite her phone number if nothing has changed. She does need to take a fresh look at allergies, diabetes, circulation, and any nail note. Last year's form is not today's answer. Keep the signed sheet with her card. Having her name on the book doesn't replace the allergy line. For how that card lives next to the appointment, see salon client CRM.
Every table is right here on this page. There's no file to download. Select a table and copy it into a spreadsheet, or print the page and keep it on a clipboard at the front desk. The right-hand column stays blank until she writes in it. Use one sheet per new client, and do a fresh health pass whenever a returning client says something has changed.
Client lines
These rows tell you how to reach her about this visit and which tech she asked for. They are not a marketing list.
| Field | What she writes |
|---|---|
| Full name | |
| Mobile phone | |
| First visit, or returning | |
| Preferred tech, if she has one | |
| Best way to reach her about this visit: call, text, or email | |
| Your row |
The phone number is for this visit. It is not consent to a text campaign. If the shop sends email reminders from Bukkii, those come with the $20 plan. That limit is spelled out again in the pricing section. A blank "preferred tech" line means first available. It doesn't mean she asked for someone who isn't on the book.
Today's service
Write the service in words the book can use. "A set" doesn't tell you how long it takes. Gel, dip, acrylic, a fill, a manicure, a pedicure, and nail art are not the same chair.
| Field | What she writes |
|---|---|
| Service today: manicure, pedicure, gel, dip, acrylic, fill, nail art | |
| Shape and length, in her words | |
| Anything already on the nail she wants the tech to see before filing | |
| Your row |
The third row is for a look, not a diagnosis. She points out what she wants seen before a file touches it. The tech doesn't rename it. If that note is a nail or skin condition, it also goes on the health table, in her words.
Health and safety
Read this before you hand her the pen. You're asking her to report what she already knows. You're not asking her to let the salon diagnose her. This page doesn't tell you to take a client or to turn one away.
Allergies: she writes down the name. Acrylic, gel, latex, acetone, fragrance, or something else. If the line is blank, ask once, out loud, before the bottle opens. A blank line is not a no.
Nail or skin condition: she writes it in her own words. The tech doesn't rename it, and this form doesn't list diagnoses. Diabetes gets yes, no, or prefer not to say. Circulation problems or numbness in the hands or feet get the same three answers. If she marks yes on either line, or writes in a nail or skin condition, she initials the doctor line. That initial means she was told to talk with a doctor before the service. It is not a medical clearance, and it is not permission from the salon.
Here's the sentence that goes on the sheet, word for word: "If you marked diabetes, circulation problems, numbness, or wrote a nail or skin condition, talk with a doctor before this service. This salon does not give medical advice, and this form is not a clearance."
| Field | What she marks or writes |
|---|---|
| Allergies to acrylic, gel, latex, acetone, fragrance, or something else. Write the name. | |
| A nail or skin condition she already knows about and wants the tech to read before the service. Her words only. | |
| Diabetes: yes / no / prefer not to say | |
| Circulation problems or numbness in the hands or feet: yes / no / prefer not to say | |
| Doctor line: If you marked diabetes, circulation problems, numbness, or wrote a nail or skin condition, talk with a doctor before this service. This salon does not give medical advice, and this form is not a clearance. | Client initials |
| Your row |
Signature
She signs before the service. The tech initials after reading the allergy line out loud, and after reading the doctor line if she marked yes or wrote in a condition. A blank photo line means no.
| Line | Initials and date |
|---|---|
| I filled this out myself. The salon is not my doctor. | |
| I read the shop's own cancellation note, if the shop has one. This page does not write that note. | |
| Photos of my nails for the shop's own book: yes or no. | |
| Tech initials: allergy line read before a bottle was opened. Doctor line read if she marked yes or wrote a condition. | |
| Your row |
After she signs
The three things the book needs are already on the form: her name, her phone, and the tech she asked for. Put those on the booking roster during the same visit. A line on paper doesn't block off a column on the booking page. For how clients reach that page, see nail salon online booking. Opening and closing the room is a different sheet: the opening and closing checklist.
Bukkii Calendar keeps the appointment. It does not store this health form, and it does not answer the phone. Calendar is $0 for up to 3 staff and includes the booking website. Reserve with Google is not on Free. $20 a month unlocks unlimited staff and customers, plus Reserve with Google. Email reminders come with the $20 plan. Prices are from bukkii.ai/pricing, checked November 9, 2026. This sheet is written for the floor of a US nail salon.
The phone keeps ringing while she's filling this out. AIVA answers the calls the salon would otherwise miss. AIVA answers callers in English only. She does not speak Spanish, Vietnamese, Chinese, Korean, or any other language to callers. You can read this page in Spanish or Vietnamese, and you can print the form in those languages, but the phone voice stays English. AIVA is $200 one-time. No free trial, no monthly fee, no contract. The payment includes a dedicated number, training on your menu and policies, calendar setup, and call forwarding, plus 100 voice minutes and 1,500 SMS. After that, voice is $0.35 a minute and SMS is $0.035. Packs never expire. She texts the appointment details after the booking is made. She doesn't auto-text a caller who already hung up. She does not read this intake form during the call, and she does not collect health history from the caller. Setup is call forwarding. This page does not describe number porting. The number on your door stays with your carrier. Hear the English voice at (215) 791-6766. Get started.
FAQ
Is this nail salon intake form a medical form or a state board form?
No. It's an operations sheet for a US nail salon: name, phone, the service, the tech she asked for, allergies, a nail or skin note in her own words, diabetes, and circulation or numbness. It is not a diagnosis, and it is not a doctor's clearance. Disinfection and what you log still follow the rules your state board has already published. This page doesn't add any product, soak time, or medical clearance the board didn't write.
Which health and safety lines belong on the form?
Allergies to acrylic, gel, latex, acetone, fragrance, or something else, written by name. Any nail or skin condition she already knows about, in her words, not renamed by the tech. Diabetes: yes, no, or prefer not to say. Circulation problems or numbness in the hands or feet: the same three answers. If she marks yes on diabetes or circulation, or writes in a nail or skin condition, the form tells her to talk with a doctor before the service. That line is not medical advice, and it is not a clearance.
When should a client fill out the intake form?
While she's waiting, before the service starts, not after the gel is on. The tech reads the allergy line before opening a bottle. Diabetes and circulation get read before a pedicure, not after the tub is filled. A returning client updates allergies, diabetes, circulation, and any nail note when something has changed. Last year's form is not today's answer.
Does a yes on diabetes or circulation clear her for a pedicure?
No. A yes does not clear her, and a no is only what she reported. The salon does not decide whether the service is safe. The form tells her to talk with a doctor before the service. If the tech is unsure, stop and have her talk with a doctor. This page does not say which service to refuse.
Where do her name, phone, and requested tech go after she signs?
On the booking roster, next to the appointment. The signed sheet stays with her card. Having her name on the book doesn't replace the allergy line. Bukkii Calendar keeps the appointment. It does not store this health form, and it does not answer the phone.
Does Bukkii Calendar answer the phone, and what language does AIVA use?
Calendar does not answer the phone. Calendar is $0 for up to 3 staff and includes the booking website. Reserve with Google is not on Free. $20 a month unlocks unlimited staff and customers, plus Reserve with Google. Email reminders come with the $20 plan. AIVA answers callers in English only. AIVA does not speak Spanish, Vietnamese, Chinese, Korean, or any other language to callers. AIVA is $200 one-time, with no monthly fee, no contract, and no free trial. The payment includes a dedicated number, training, calendar setup, and call forwarding, plus 100 voice minutes and 1,500 SMS. After that, voice is $0.35 a minute and SMS is $0.035. Packs never expire. She texts the appointment details after the booking is made. She doesn't auto-text someone who already hung up. She does not read this intake form during the call, and she does not collect health history from the caller. Setup is call forwarding, not number porting. Prices are from bukkii.ai/pricing, checked November 9, 2026.
