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.
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.
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, plus fillable PDF and Word. Launching soon. Email outreach@proneedling.com for early access.
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 plus fillable PDF and Word.