Dermatology and aesthetics treatment record
One record per patient for a course of laser, injectables, peels or skin treatments. Page one is filled in before the first session; page two takes a line for every session after it.
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- Word · English.docx · 146 KB
- PDF · English.pdf · 363 KB
- Word · Arabic.docx · 145 KB
- PDF · Arabic.pdf · 192 KB
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What is in the file
| Skin and concerns | Fitzpatrick skin type I to VI, a checklist of concerns and the planned treatment. |
|---|---|
| Contraindications | Yes or no for pregnancy or breastfeeding, isotretinoin, photosensitising medication, recent sun, keloid history and active infection, with room for details and who reviewed them. |
| Area map | A face and a front-and-back body drawing with 22 numbered zones, so the session table can say “zone 5” instead of a description. |
| Session protocol | Date, session number, device or product, settings or units per zone, lot number, operator, skin reaction and next session date. |
| Photo log and home care | Date, view and consent for each set of photos, then the home care given and signatures. |
How to use it
Add your letterhead
Open the Word file and put your logo and clinic details in the header box.
Screen before the first session
Go through the contraindications with the patient and sign it off.
Write a line per session
Use the zone numbers from the map, and copy the lot number from the box for every injectable.
Log the photos
Record the views and the patient’s consent each time you photograph.
Who it is for
Dermatology and aesthetic clinics running laser hair removal, fillers, botulinum toxin, peels and skin treatments. Useful wherever a nurse or therapist delivers sessions that a doctor oversees.
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Questions
Why record lot numbers?
If a product is recalled or a patient reacts, the lot number tells you which patients received that batch. It takes seconds at the time and is hard to find later.
Can I change the zones?
Yes. The legend is plain text in the Word file; rename or renumber zones to match how your clinic describes areas.
Is photo consent the same as treatment consent?
No. The record logs photo consent separately for each set of photos. Treatment consent belongs on its own form; see the consent form pack.
Does it work for laser and injectables alike?
Yes. The settings column takes energy and spot size for a laser or units per zone for an injectable.
Sessions, units and photos on one chart
In Medicolize each session is written on the patient’s chart with its settings, products and photos, and the next session is booked from the same screen. Thirty minutes on your own clinic.