The Complete Package: Medical Spa Forms and Consents

The Complete Package includes:

Informed Consents

• QWO Informed Consent
• Latisse Informed Consent
• RF Microneedling Informed Consent
• RF Skin Tightening Informed Consent
• Chemical Peel Informed Consent
• Coolsculpting Fat Reduction Informed Consent
• Dermal Filler Injectable Informed Consent
• Hair Reduction Treatment Informed Consent
• Hydrodermabrasion Informed Consent
• Intravenous B-12 Vitamin and Amino Acid Injections Informed Consent
• Kybella (Deoxycholic Acid) Injection Informed Consent
• Laser Tattoo Removal Informed Consent
• Microneedling Skin Treatment Informed Consent
• Neuromodulator Botulinum Toxin Type A Injectable Informed Consent
• PDO Thread Lift Procedure Informed Consent
• Photofacial/Skin Rejuvenation and/or Non-ablative Wrinkle Reduction Informed Consent
• Platelet Rich Plasma (PRP) Informed Consent Form
• Sclerotherapy Informed Consent
• Sculptra Informed Consent Form

Intake Forms

• Authorization to Release and Disclose Photographs
• Informed Consent – COVID-19 Pandemic
• Notice of Privacy Practices
• Patient Acknowledgment of Provider
• Patient Consent for Photography
• Patient Consent to Telemedicine Services
• Patient Consent to Telemedicine Services – COVID-19
• Patient Consent to Treatment
• Patient Contact Authorization
• Patient Financial Responsibility Agreement
• Patient Information

OSHA Forms

• Annual Inspection of Laser Equipment by the LSO
• Biohazard Waste Poster
• Bloodborne Pathogen Exposure Control Plan
• Bloodborne Pathogen Exposure Control Plan: Employee Quiz and Acknowledgement
• Educational Assessment for Safe Laser Use: Employee Quiz and Acknowledgement
• Hepatitis B Vaccine Declination Form
• Injury and Illness Prevention Program
• Incident and Investigation Report
• Laser Safety Program
• Monthly Facility Assessment and Rounding Tool for Safety
• Sharps Injury Log

Plans

• Cleaning and Disinfecting Plan
• Patient Health and Safety Plan
• Staff Health and Safety Plan

Policies

• Biohazard Waste Policy
• Cleaning and Disinfecting Policy
• Client Privacy During Treatments Policy
• Complaints, Concerns, and Grievances Policy
• Hand Hygiene Policy
• Hepatitis B Vaccination for Employees Policy
• Incident Reporting Policy
• Information Management Policy
• Medication Administration Policy
• Medication Preparation Policy
• Medication Storage Policy
• Operating Laser Equipment Policy
• Patient/Client Records Policy
• Risk Management Policy
• Storage of Supplies Policy
• Suspected Necrosis Post Filler Treatment Policy

SOPs

• RF Skin Tightening Protocol
• Body Contouring Protocol
• Facial Treatments Protocol
• HA Fillers and Reversal Agent Protocol
• Hormone Replacement Therapy Protocol
• IV Infusion Protocol
• Kybella Protocol
• Laser Hair Removal Protocol
• Lipotropic Injection Protocol
• Microneedling Protocol
• Neuromodulator Protocol
• Nitrous Oxide Protocol
• PDO Threads Protocol
• Photorejuvenation Protocol
• Pre-treatment Procedure Protocol
• PRP Hair Restoration Protocol
• PRP Vaginal Rejuvenation (O-Shot) Protocol
• Radiesse Protocol
• Sclerotherapy Protocol
• Sculptra Protocol
• Tattoo Removal Protocol
• Ultherapy Protocol
• Vaginal Rejuvenation Protocol
• Vitamin B12 Injections Protocol