nopen
Try it free

Form library · BEA-001

Cosmetic treatment consent

Example template only. Not legal or clinical advice. Review and adapt before use. Not endorsed by any government agency. Last reviewed 14 October 2026.

Rules differ by state; check yours.

Australian clinics taking consent for a cosmetic treatment.

Skin history and a patch-test question, then the steps for a cosmetic procedure. Two consultations and signed consent come first. Do not take a booking or a deposit until at least 7 days after both. For under-18s, wait at least 3 months between consent and surgery, and arrange an independent evaluation by a psychologist, psychiatrist or GP. A referral is required, preferably from the patient's usual GP, and the referrer must be independent. Screen for body dysmorphic disorder with a validated tool and record that it was done. The questions are not on this form.

Beauty at nopen

Use as is

We add your logo and colours. No setup fee.

Use as is — no setup fee

Minor changes

Tell us what to change. We quote that edit.

Starting point

We build a new form from this brief.

Use as a starting point

nopen

Demo only, no real details

Cosmetic treatment consent

Example template only. Not legal or clinical advice. Review and adapt before use. Not endorsed by any government agency. Last reviewed 14 October 2026.

DD/MM/YYYY

Has a patch test been done?

DD/MM/YYYY

DD/MM/YYYY

Do not take a booking or a deposit until at least 7 days after the second consultation and this signed consent.

Is the person under 18?

If the person is under 18, wait at least 3 months between consent and surgery, and arrange an independent evaluation by a psychologist, psychiatrist or GP before any booking or deposit.

Is an independent GP referral on file?

Screen for body dysmorphic disorder with a validated tool and record the result. The questions are not on this form.

Cosmetic Procedure Screening Questionnaire (COPS)

Medical Board guidelines for cosmetic procedures

Has the screening tool been completed and recorded?

Fields

  • Person and treatment

    Name, date of birth, and the treatment they asked about.

  • Skin and allergies

    Reactions, and whether a patch test was done.

  • Two consultations

    The date of each consultation.

  • 7-day cooling-off

    No booking and no deposit until at least 7 days after the second consultation and signed consent.

  • Under 18

    At least 3 months between consent and surgery, plus an independent evaluation by a psychologist, psychiatrist or GP.

  • GP referral

    Preferably the patient's usual GP. The referrer must be independent of the practitioner.

  • BDD screening

    A validated tool, linked and not printed here. Record that it was completed.

Questions

When can I take a deposit?

Not until at least 7 days after the second consultation and the signed consent. If the person is under 18, wait at least 3 months between consent and surgery, and have an independent evaluation by a psychologist, psychiatrist or GP first.

Where is the body dysmorphic disorder questionnaire?

It is not printed here. Use a validated tool and record that it was completed. This form links to the Cosmetic Procedure Screening Questionnaire (COPS) and to the Medical Board guidelines.

State/Territory waivers

Waiver and consent rules differ between states and territories. Check the civil liability law where you operate, and get your own legal advice if you're unsure.

ACTNSWNTQLDSATASVICWA

About these templates

These templates are examples only, to help you get started. They are general information, not legal, medical, clinical or professional advice, and they may not suit your business, your profession or your state or territory.

Before you use any template, you must review and adapt it, and have it checked where needed, so it fits your services, your professional body's rules, privacy and health records laws, and the law where you operate. This matters most for consent, waiver, privacy and minors' forms. You are responsible for the forms you use and the information you collect.

To the extent the law allows, Nopen gives no warranty that the templates are complete, current or fit for any purpose, and is not liable for loss arising from their use. Nothing here excludes, restricts or modifies any right or remedy you have under the Australian Consumer Law that cannot lawfully be excluded.

The templates are not endorsed by or connected with any government agency, including Services Australia, Medicare or the NDIA. Do not add government logos, the Commonwealth Coat of Arms or other official marks to them. Fields that refer to government numbers (such as a Medicare card number) are labels only.

Templates were last reviewed on 14 October 2026. Laws change, so check that a template is current before you rely on it.

Example template only. Not legal or clinical advice. Review and adapt before use. Not endorsed by any government agency. Last reviewed 14 October 2026.

Drafted 14 October 2026.