Teeth Whitening Consultation Form

Looking for a professional teeth whitening consultation form for your salon, spa, or beauty practice? This customizable template helps you gather essential information before every whitening treatment—from dental history and sensitivity concerns to current shade assessment and client expectations.

Why Your Whitening Business Needs This Form

Whether you're a beauty salon offering cosmetic teeth whitening, a med-spa expanding your services, or a mobile whitening provider, this intake form helps you deliver safer, more effective treatments. By understanding each client's dental history, current tooth shade, and sensitivity profile upfront, you can customize treatment intensity, recommend appropriate aftercare, and set realistic expectations about results.

Built for Beauty & Wellness Professionals

This template is designed specifically for cosmetic teeth whitening providers in salons, spas, and beauty clinics. It captures everything you need to know before treatment: previous whitening history, existing dental work that might affect results, sensitivity concerns, lifestyle factors (coffee, wine, smoking), and the client's desired shade goal. The form also helps you identify clients who may need to consult with a dentist before proceeding.

How Paperform Elevates Your Client Experience

With Paperform, this isn't just another boring medical form. You can match your brand with custom fonts, colors, and images, embed it directly on your website, or send it as a branded link before appointments. Conditional logic shows sensitivity questions only when relevant, and you can automatically send personalized aftercare instructions and product recommendations based on their responses.

Connect the form to your booking system, CRM, or Google Sheets to keep client records organized, and use Papersign (papersign.com) to collect consent signatures digitally. You can even sell maintenance products or pre-book follow-up sessions right in the form with built-in payment processing.

This teeth whitening consultation form helps you deliver professional, personalized service while streamlining your intake process—so you can focus on creating those confidence-boosting, brilliant smiles.