iS Clinical - TREAMENT REACTION QUESTIONNAIRE

iS Clinical - TREAMENT REACTION QUESTIONNAIRE

iS Clinical- TREATMENT REACTION QUESTIONNAIRE

INDIVIDUEL REPORTING

CLIENT INFORMATION

Is the client?
Date format: 12/05/22

Homecare regimen in use prior to treatment (please include iS CLINICAL and other products, by name below - if applicable)

Does the patient use any topical prescriptions?
Did the patient use any home skincare devices?

If Yes - The Patient Used Skincare Devices (Only Applicable for Professionals)

Date format: 12/05/22
Date format: 12/05/22
Date format: 12/05/22

TREATMENT INFORMATION (Product Specific)

Date format: 12/05/22
Date format: 12/05/22
Date format: 12/05/22
Were photos taken?
Størst tilladte upload: 268.44MB

Please recount the steps of the treatment with specific product names

Extractions Performed?

Products Applied by User Post-Treatment: