Chemical Peel Contraindications Checklist | Fillable PDF Client Safety Form | Aesthetics Clinic Template

DIGITAL DOWNLOAD — no physical item.

A clinic-grade Chemical Peel Contraindications Checklist for beauty & aesthetics practitioners. Designed to support safe screening, clear documentation, and professional client record-keeping before treatment.

💻 **Digital (Interactive) Options:**

• Branded Interactive PDF – fill out on screen using Adobe Acrobat or any compatible PDF reader. Branding in the footer.  

• Label-free Interactive PDF – digital use with no branding, can be completed and saved online or printed later. Branding removed from footer.

What you’ll receive

1 x Fillable PDF (Interactive) (2 pages)

Complete on-screen using Adobe Acrobat or another compatible PDF reader. Save a copy to your client records.

What’s inside (sections)

• Yes/No contraindications checklist with space for notes
• Includes screening for: pregnancy/breastfeeding, active cold sores, open wounds/broken skin, common skin conditions, sunburn/tanning, isotretinoin use, recent use of retinol/AHAs/BHAs, recent waxing/laser/dermaplaning, keloid scarring, recent injectables, relevant allergies (e.g., aspirin/salicylic/lactic), and severe acne/infection in the treatment area

Ideal for

New clinics, mobile/home-based practitioners, and established practices wanting a simple, consistent safety screen to use before chemical peel treatments.

Important notes

This is a fillable PDF. Some phone preview apps don’t support fillable fields well—Adobe Acrobat is commonly used.

✨ 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!