|
Date of Service
|
|
|
Session
|
Paid In Full
|
|
Gender
|
|
|
Hair Color
|
|
|
Skin Classification
|
|
|
Area Treated
• • •
|
|
|
Notes
|
|
|
Laser
|
Skintel used
|
|
Energy Density (J)
• • •
|
|
|
msec
• • •
|
Rate (Hz)
|
|
Zimmer
|
|
|
Post Tx Prod
• • •
|
|
|
Laser Technician
• • •
|
|
