SkinPen (Crown Aesthetics Reportable incidents)

SkinPen (Crown Aesthetics Reportable incidents)

SECTION 1. INCIDENT DETAILS

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Check If Section 2 Is Not Applicable For You
If complaint is not related to an Adverse Patient Event the following section will be marked "Not Applicable" and only section 1 and 3 require completion

SECTION 2. ADVERSE EVENT TRIAGE QUESTIONS

Was Medical Intervention Required?
What Was The Purpose of The Treatment?
Is There Another Appointment With The Patient Scheduled?
Are There Pre and/ or Post Treatment Pictures Available
Has There Been Any Resolution Since Incident/ Report?
Did The Customer Request Additional Follow-up After Incident?

SECTION 3. RESOLUTION