Skin Rejuvenation Consultation Form

Form Template

This Skin Rejuvenation Consultation Form mobile app is used by dermatology clinics to capture patient information and consent for skin rejuvenation treatments.

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Details skin information, areas for skin treatment, and customer expectations. During this initial consultation, you also have the ability to ask the patient about current skin care, sun exposure, fine lines and wrinkles concerns. This app also includes a section for consultant notes to indicate whether the client is suitable for treatment and why or why not.

All information is saved in the GoCanvas Cloud and can be printed or emailed as a PDF if you need to use it as reference during skin rejuvenation treatments. This app can be downloaded to an iPhone, iPad, or Android device.

Looking for a different app? Try our esthetician client consultation form.

  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
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  • iPhone
  • iPad
  • Android
  • Windows
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  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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