PRP microneedling (the “vampire facial”) uses your client’s own blood, so the consent needs to cover the blood draw and infection control on top of the microneedling itself — the exact issues behind the well-publicized unlicensed-spa cases. Below is a free PRP facial consent form template, plus the complete kit.
By the ProNeedling editorial team · Updated August 2026
What a PRP / vampire facial consent form must include
- The blood draw and that it is performed by a qualified, licensed person
- Infection control: single-use, sterile, never-shared equipment
- Blood-draw risks (bruising, fainting, site infection) plus microneedling risks
- Contraindications (blood disorders, blood thinners, active infection, chemotherapy)
- No-guarantee, elective, non-refundable statements
- Signature, date, and photo/records consent
Free PRP / vampire facial consent form template
Copy, print, or adapt the template below. For the editable version plus the other five forms, see the full kit.
Download the PRP consent form PDF
One page, print-ready, free. No email required.
Download the free consent form (PDF)
Informed Consent: PRP Microneedling / Vampire Facial
Client name: __________ DOB: ________ Date: ________
About the procedure. A small sample of your own blood is drawn and spun in a centrifuge to concentrate platelets. The platelet-rich plasma (PRP) is applied during or after microneedling (and/or injected, where within the provider’s scope). The blood draw is performed by a qualified, appropriately licensed person.
Blood safety. Only your own blood is used, and single-use, sterile needles and equipment are used and never shared between clients. Sterile technique is essential to prevent infection and blood-borne transmission.
Risks. From the blood draw: bruising, bleeding, discomfort, lightheadedness/fainting, rarely infection at the site. From microneedling/PRP: redness, swelling, bruising, and less commonly infection, pigmentation change, or scarring. Results vary and none is guaranteed.
Contraindications (may decline if any apply): pregnancy/nursing, blood or platelet disorder, low platelets/anemia, blood thinners, active or blood-borne infection, active cancer/chemotherapy, immunosuppression, keloid history, isotretinoin within 6 months.
Consent. The blood draw, procedure, risks, and alternatives have been explained; no guarantee is expressed or implied; this is elective and non-refundable. I have read and understand this form and consent to the blood draw and treatment. Valid until revoked in writing.
Client signature: __________ Date: ______ Provider/Witness: __________ Date: ______
Get the complete PRP & Vampire Facial Documentation Kit
The free consent above is one of six. The full editable kit covers your whole workflow:
- Informed Consent
- Client Intake & Health History
- Pre-Treatment Care
- Aftercare sheet + card
- Treatment Record
- Photo Consent & Release
Editable in Canva, Word, and fillable PDF. Instant download.
Run more than one treatment? All 5 kits in the Suite, $39
Consent forms for other skin treatments
Each treatment needs its own paperwork: microneedling, RF microneedling & Morpheus8, exosome & PDRN, and dermarolling consent forms are free too, or get every kit in the Advanced Forms Suite. New to the treatment? See our microneedling with PRP guide.
Frequently asked questions
Do you need a consent form for a vampire facial?
Yes. A vampire facial involves both a blood draw and microneedling, so informed consent should cover the blood draw, infection-control measures, the risks of each step, and a no-guarantee statement.
What are the risks of PRP microneedling?
Blood-draw risks (bruising, bleeding, fainting, rarely infection at the site) plus microneedling risks (redness, swelling, bruising, and rarely infection, pigmentation change, or scarring). Proper sterile, single-use technique is essential.
Can I edit this form?
Yes, copy and adapt the free template. The full kit is editable in Canva plus fillable PDF and Word.
Is there a printable PDF version of this PRP consent form?
Yes. Download the free one-page consent form as a print-ready PDF above, no email required. The full kit adds editable Canva, Word, and fillable PDF versions of all six documents.