Chemical Peel Medical History Form | Fillable PDF Client Record | Aesthetics Clinic Template
DIGITAL DOWNLOAD — no physical item.
A clinic-grade Chemical Peel Medical History Form for beauty & aesthetics practitioners. Designed for safe screening and consistent documentation 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) (3 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 medical history checklist with space for details (e.g., pregnancy/breastfeeding, contraception/HRT, acne, isotretinoin history, allergies/sensitivities, eczema/psoriasis, cold sores, keloid scarring, epilepsy, skin cancer, diabetes, blood pressure/heart conditions, autoimmune disorders, thyroid imbalance, implants/pacemaker, other)
- Current medications & supplements (free text)
- Allergies & sensitivities (free text)
- Lifestyle & exposure factors (smoking, SPF use, sunbeds/sunbathing, 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.
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!
