Chemical Peel Medical History Form | Printable PDF Client Record | Aesthetics Clinic Template
DIGITAL DOWNLOAD — printable file. No physical item.
A clinic-grade Chemical Peel Medical History Form for beauty & aesthetics practitioners. Designed for safe screening and consistent documentation 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 (3 pages)
Print and complete by hand (pen). Ideal for paper-based client files.
What’s inside (sections)
- Yes/No medical history checklist with space for details (including pregnancy/breastfeeding, oral contraception/HRT, acne history, isotretinoin history, allergies/sensitivities, eczema/dermatitis/psoriasis, cold sores, keloid scarring, epilepsy, skin cancer, diabetes, blood pressure/heart conditions, autoimmune disorders, metal implants/pacemaker, thyroid imbalance, and other)
- Current medications & supplements (free text)
- Allergies & sensitivities (free text)
- Lifestyle & exposure factors (smoking, SPF use, sunbathing/sunbeds, alcohol units, sleep, diet/hydration)
- Additional notes
Ideal for
New clinics, mobile/home-based practitioners, and established practices wanting a clear, professional health screening form for chemical peel clients.
✨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!
