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Pre-Treatment
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Photo
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Photo
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Photo
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Photo
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Picture
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Picture
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Picture
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Picture
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Consent Signed & Pictures Obtained
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Skin Assessment
• • •
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Treatment Settings
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Location 1:
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Other Treatment Zone
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Wavelength Handpiece
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Energy output (J/cm2)
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Pulse duration (msec)
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Frequency (Hz)
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Cooling
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Details
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Treatment Summary
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Total Pulses For Entire Treatment
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Treatment Response
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Picture
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Picture
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Picture
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Picture
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Picture
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Picture
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Patient Education
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Custom Treatment Plan Recommendations
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Staff to Complete Procedure
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Follow-Up:
• • •
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Follow Up Appointment Reminder
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Care Instructions
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