Chemical Peel Contraindications Checklist | Printable PDF Client Safety Form | Aesthetics Clinic Template
DIGITAL DOWNLOAD — printable file. No physical item.
A clinic-grade Chemical Peel Contraindications Checklist for beauty & aesthetics practitioners. Designed to support safe screening, clear documentation, and consistent client record-keeping before treatment.
🧾 Choose your preferred format at checkout:
🖨️ **Printable Options:**
• Branded Locked PDF – ready to print and fill by hand
• White-label Word Doc – editable, unbranded version for print use
What you’ll receive
1 x Branded Printable PDF (2 pages)
Print and complete by hand (pen). Ideal for paper-based client files.
What’s inside (sections)
- Yes/No contraindications checklist with space for notes
- Screens for key contraindications, including:
- pregnancy/breastfeeding
- active cold sores/herpes
- open wounds/broken skin
- eczema/psoriasis/dermatitis
- sunburn/recent tanning (beds/self-tan)
- isotretinoin use within 6 months
- retinol/AHAs/BHAs use within 5 days
- recent waxing/laser/dermaplaning (last 7 days)
- keloid scarring history
- recent injectables (Botox/fillers)
- allergy to aspirin/salicylic/lactic acid
- severe acne or active infection in the treatment area
Ideal for
Practitioners who want a simple, professional safety screen to complete before chemical peel treatments.
✨Includes updated versions if the system is refined
🔒 For personal business use only — not for resale or redistribution
📥 Instant download after purchase
🛍️ Need more forms? This is also part of the Chemical Peel Starter Admin Pack!
