The Aesthetic Consultation Form Template UK is offered in multiple formats, including PDF, Word, and Google Docs, featuring customizable and printable examples.
Aesthetic Consultation Form Template UK Editable – PrintableSample
Aesthetic Consultation Form Template UK 1. Client Information 2. Medical History 3. Previous Treatments 4. Reason for Consultation 5. Aesthetic Goals 6. Skin Type and Sensitivity 7. Photos and Documentation 8. Consent for Treatment 9. Client Responsibilities 10. Practitioner Responsibilities 11. Refund and Cancellation Policy 12. Signature and Agreement 13. Declaration and Signatures
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Examples
[Patient’s Full Name]
[Patient’s Date of Birth]
[Patient’s Address]
[Patient’s Phone Number]
[Patient’s Email Address]
[Date of Consultation]
Please provide any relevant medical history including allergies or ongoing conditions: [Details].
Please list any medications you are currently taking: [Medication List].
Please specify your aesthetic concerns and desired outcomes: [Details].
Have you had any aesthetic treatments before? If yes, please provide details: [Details].
What are your goals for this consultation? [Details].
I understand that the consultation is for informational purposes and does not obligate me to undergo any treatments. [Signature of the Patient] [Date].
[Patient’s Full Name]
[Patient’s Date of Birth]
[Patient’s Address]
[Patient’s Phone Number]
[Patient’s Email Address]
[Date of Consultation]
Please list any medical conditions that may affect treatment: [Conditions].
Do you have any allergies? If so, please specify: [Allergy Details].
What are your expectations from the treatment? [Details].
Please outline any previous aesthetic treatments received: [Details].
Please describe the results you hope to achieve: [Details].
I confirm that the information provided is accurate and complete to the best of my knowledge. [Signature of the Patient] [Date].
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