Healthcare & Wellness

Tanning Bed / UV Session Consent & Release

Informed consent and liability release for indoor UV tanning bed sessions, covering radiation risks, skin type classification, contraindications, session limits, and ESIGN acknowledgment.

๐Ÿ“„ 1 signer๐Ÿ“… 30-day expiry๐Ÿท Healthcare & Wellness๐Ÿ”– tanning, uv, tanning-bed, salon, consent, release, wellness, skin

About this template

The Tanning Bed / UV Session Consent & Release is a ready-to-use healthcare & wellness template you can send for signature in minutes. It is written for 1 signer (client) and, by default, expires 30 days after it is sent if left unsigned. It covers tanning, uv, tanning bed, salon, consent, release. Like every Abundera Sign template it is a convenience draft structured for ESIGN Act and UETA compliance, not a substitute for legal advice. Each signed copy is sealed with PAdES-LTA digital signatures, dual RFC 3161 timestamps, and a tamper-evident evidence package in WORM storage.

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# Tanning Bed / UV Session Consent & Release > **Important โ€” not medical advice.** For use by a licensed/qualified provider; screen for contraindications and skin type before permitting any UV tanning session. The FDA classifies sunlamps and tanning beds as moderate-risk Class II medical devices. Indoor UV tanning is prohibited for persons under 18 in many U.S. states and localities โ€” verify local law before providing service. --- ## Facility & Client Information **Facility Name:** ___________ **Facility Address:** ___________ **Session Date:** ___________ **Client Full Name:** ___________ **Date of Birth:** ___________ **Age (must be 18+ or meet local minimum):** ___________ **Phone Number:** ___________ **Email Address:** ___________ --- ## Skin Type Classification (Fitzpatrick Scale) Please select the skin type that best describes how your skin responds to sun exposure: ___________ **Staff note:** Types I and II are at highest risk for UV-induced skin damage. Consult facility exposure guidelines before permitting full-duration sessions for these clients. --- ## UV Equipment Selected **Tanning Unit / Bed Model:** ___________

Fields (33)

facility name
text ยท required
facility address
textarea ยท required
session date
date ยท required
client full name
text ยท required
date of birth
date ยท required
client age
number ยท required
phone number
phone ยท required
client email
email ยท required
fitzpatrick type
radio ยท required
unit model
text ยท required
lamp type
select ยท required
session duration
number ยท required
hx skin cancer
radio ยท required
hx skin cancer removal
radio ยท required
hx atypical moles
radio ยท required
hx photosensitive condition
radio ยท required
hx cold sores
radio ยท required
hx pregnancy
radio ยท required
med antibiotics
checkbox
med diuretics
checkbox
med antidepressants
checkbox
med antihistamines
checkbox
med retinoids
checkbox
med stjohnswort
checkbox
med chemo immuno
checkbox
med psoralens
checkbox
med nsaids
checkbox
med other
checkbox
medication list
textarea
recent selftanner
radio ยท required
recent skincare
radio ยท required
eyewear confirmed
radio ยท required
client name print
text ยท required

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Send this template with cryptographic proof

Every signed document gets PAdES-LTA digital signatures, dual RFC 3161 timestamps, and a tamper-evident evidence package sealed in WORM storage.

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