Client Wellness & Skin Profile
This is your master wellness record with us — one living copy we keep current across every visit. It is not a per-appointment form. As your skin, health, and goals change, we update it together so every therapist works from the same accurate picture. Everything here stays in your confidential file.
Section 1 — Client Details
Preferred name / pronouns:
Emergency contact (name & phone):
Section 2 — Skin & Body Chart
Standing skin & body concerns to focus on or avoid (acne, pigmentation, rosacea, scarring, tension areas, injuries):
Section 3 — Medical History & Contraindications
Tick anything that applies and keep it up to date. These may require a modified treatment or written clearance from your doctor.
Current medications, supplements, and relevant medical history:
Section 4 — Allergies & Product Reactions
Known allergies and products or ingredients we must avoid (oils, essential oils, fragrance, latex, acids, acetone, adhesives), plus how you react:
Section 5 — Treatment History Log
A running log the team adds to each visit — most recent at the top.
Section 6 — Home-Care Regimen
Current at-home routine and recommended products (updated as it evolves):
Section 7 — Therapist Observations
Dated observations the team carries forward — progress, what worked well, what to adjust next time. Newest at the top.
Keep this profile current — it is the record we work from at every visit.