Medical History & Intake Form (Cosmetic)

$ 99.00

Tax included.

Description

Tailored for cosmetic patients. Goes beyond standard medical history to capture skin conditions, previous treatments, aesthetic goals, and the specific contraindications that matter for your modalities.

  • Skin condition and skin type history
  • Previous cosmetic treatments and outcomes
  • Aesthetic goals and areas of concern
  • Contraindications relevant to your modalities
  • Current medications and allergies
  • Photography and consent acknowledgement
  • Plus the contraindication prompts specific to cosmetic work

Cosmetic clinics offering injectables, lasers, energy devices, peels, and skin needling.

Use at the new patient consultation before any treatment is offered. Update before each new modality is introduced for that patient.

Point-in-time document at date of purchase. Customise for your jurisdiction, services, and clinical context before use. Not legal advice. Membership tier includes ongoing updates as regulations change.

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Built for confident clinics

Compliance and governance support grounded in the realities of Australian cosmetic practice.

Get the Full Fee Schedule (PDF)

Access the complete notarial fee schedule, including service breakdowns, pricing, and disbursements. We’ll send the PDF directly to your inbox.