Chemical Relaxers and Synthetic Hair Exposure | Violet Sheet | Fillable and Printable PDF

Research is raising real questions about chemical relaxers, synthetic hair, and reproductive health — and most doctors never ask about hair product history. This fillable Violet Sheet helps you document your exposure history, track related symptoms, and make sure it's part of the conversation with your provider.

What's Inside:

• Exposure history (years of use, frequency, brands, scalp irritation)
• Symptom tracker (cycle changes, pelvic symptoms)
• Family history prompts
• Script to request your exposure history be documented and evaluated

Print it, fill it out by hand, or complete it digitally — built using the ROOT Framework to connect your history to your care.

Refund Policy: Due to the digital nature of this product, all sales are final and non-refundable. Please read the full description before purchasing. If you have trouble accessing your file, contact us within 7 days so we can help resolve the issue.

Medical Disclaimer: This Violet Sheet is for educational and self-advocacy purposes only. It does not provide medical advice, diagnosis, or treatment. Always consult your physician or a qualified healthcare provider regarding any medical condition. If you think you may have a medical emergency, call 911 immediately.