Templates · Free template · Consultations

Aesthetic Consultation Record Template

A printable record of an aesthetic consultation, capturing what the client wants, what you found, what you discussed, and what was agreed, so the plan and the conversation are both on file.

Jump to the template ↓

Last reviewed September 2026 · Not legal advice

Document the conversation, not just the plan

A consultation is where expectations are set. Record the client's goals in their words, your assessment, the options you discussed including ones you declined to recommend, and the risks explained. If a client later says they were not told something, the consultation record is your answer.

End with what was agreed: treatments, sequence, and cost estimate if given. That turns the consultation into a plan the next visit can follow.

Clinic name · address · phone

Aesthetic Consultation Record

Client

Name
Date of birth
Date of consultation
Referral source

Goals and concerns

In the client's words
Previous treatments and results

Assessment

Findings (skin, volume, structure)
Fitzpatrick type
  • Medical history reviewed
  • Medications and allergies reviewed
  • Contraindications screened
  • Photos taken with consent

Discussion

Options discussed
Risks and expectations explained
Treatments declined or deferred, and why

Plan

Agreed treatments and sequence
Estimated cost
Follow-up / next booking

Sign-off

Practitioner name and credentials
Signature
Date and time
Next visit / review date

Template from zdrovia.ca/templates/aesthetic-consultation-record-template/ · Adapt to your college's documentation standard before use.

Chart it once, find it every visit after

Zdrovia comes with starter chart templates for aesthetics, including a neurotoxin treatment record and a laser session record, and you can adapt any of them to match this one. Fill the chart on a tablet during the treatment, or let the AI Scribe complete it from what you say out loud. Products and lots dispensed from inventory land on the same patient record, and photos attach to the visit. Free for solo practitioners, with data stored in Canada.

See how Zdrovia is set up for med spas.

Frequently asked questions

Why record treatments you declined?

It shows the reasoning behind the plan and that expectations were managed honestly, which is useful for the client and for you.

What consultation questions should I ask?

Our consultation question guides cover the ones that matter most.

This template is a documentation aid, not clinical guidance. It records decisions about dosing, depth, and settings; it doesn't make them. Documentation standards vary by province and profession, so adapt it to your regulatory college's requirements.