Injectable treatments are safe in the right hands and on the right candidate — and medical screening is how you confirm both. This aesthetics medical history questionnaire captures a client’s health picture before treatment, so you can treat safely or refer on.
It takes the client’s name and date of birth, whether they’re pregnant or breastfeeding, and which listed conditions apply, with space for anything not covered. It captures current medications and supplements, blood thinners, allergies, any past reaction to a cosmetic treatment, and recent facial surgery or dental work.
Use it before every injectable client and update it periodically for regulars. A complete, signed history protects the client and your practice. Customize the conditions to fit your treatments, add your branding, and embed it on your site or share a link in minutes.








