Informed consent for salon procedures (colouring, perms, manicure/pedicure, device-based cosmetology) — protects against claims and covers the explicit-consent requirement for health data as a special category under art. 9 RODO; must include an allergy patch test confirmation for colouring/perm services.
⚠️ This is a blank template, not legal advice: check the wording with a lawyer and adapt it to your jurisdiction and your case.
This template has no optional clauses: the text is the same for everyone. Field placeholders are shown as labels — on the site the template is read-only, values are entered inside the system.
CONSENT TO COSMETIC/HAIRDRESSING PROCEDURE (ZGODA NA ZABIEG)
Client: Client name Procedure: Type of procedure Date: Procedure date
1. CONTRAINDICATION QUESTIONNAIRE 1.1. Contraindication questionnaire (ankieta przeciwwskazań)
2. ⚠️ ALLERGY PATCH TEST (COLOURING / PERM SERVICES) 2.1. Allergy patch test result 2.2. A negative patch test result does not eliminate all risk; the client must report any unusual reaction (itching, burning, redness) immediately and the procedure must be stopped.
3. RISKS AND POST-PROCEDURE CARE 3.1. Risks explained: Procedure risks explained to the client 3.2. Post-procedure care: Post-procedure care instructions
4. ⚠️ RODO — EXPLICIT CONSENT FOR HEALTH DATA (ART. 9) 4.1. Information collected in the contraindication questionnaire above (allergies, skin/ health conditions) is a special category of personal data under art. 9 RODO. It may be processed only with the client's explicit, separate consent. 4.2. Consent: Explicit consent for health-related data (art. 9 RODO) 4.3. If consent is not given, this data must not be recorded beyond what is strictly necessary to refuse or adapt the procedure on safety grounds.
5. CLIENT CONFIRMATION 5.1. The client confirms having read and understood the above, and consents to the procedure on this basis: Client signature confirmation
Client signature ______________ / Client name / Date: Procedure date Salon representative ______________
— — — ⚠️ This is a boilerplate template, not legal advice. Polish employment, data-protection and consumer-protection law (the Kodeks pracy — Labour Code, arts. 25¹, 29, 29 §3; the RODO/GDPR — Regulation (EU) 2016/679; the ustawa o minimalnym wynagrodzeniu za pracę; the ustawa o świadczeniu usług drogą elektroniczną; and the ustawa o prawach konsumenta) is highly procedural, tied to fixed statutory deadlines (the "syndrom pierwszej dniówki" under art. 29 KP, the 7-day informacja o warunkach zatrudnienia, the 33-month/3-contract fixed-term cap, the 14-day right of withdrawal, the last-working-day świadectwo pracy) and changes frequently — including the 2026 minimum wage (4 806 zł/month, 31,40 zł/hour), the staged staż pracy reform (01.01.2026 for the public sector / 01.05.2026 for the private sector, with a 24-month window to document past periods) and the foreign-worker work-notification deadline shortened from 14 to 7 days as of 05.03.2026. Have this document reviewed and adapted by a Polish employment/ legal advisor (radca prawny / adwokat) and verified against current PIP, ZUS and UODO thresholds and guidance before use.
Fields that belong to a switched-off clause are dimmed — they are not asked for.
Pregnancy, allergies, skin conditions, medications, previous reactions
0 of 9 fields are taken from the company, employee or counterparty record, the questionnaire can be dictated to the AI, and the finished document comes with a number, a PDF and an acknowledgement record.