|
Consent Signed & Pictures Obtained
|
|
|
Photo
|
Photo
|
|
Photo
|
Photo
|
|
Aesthetician Service Performed
• • •
|
Other:
|
|
Area treated
• • •
|
|
|
Procedure Notes
|
|
|
Response
• • •
|
Additional Notes
|
|
Did any complications occurred with this treatment
|
Describe the complication, and actions taken to treat it
|
|
Follow-Up:
• • •
|
|
|
Staff to Complete Procedure
|
|
