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Chemical Peel Treatment Record

A printable chemical peel record that captures what the next peel depends on: the screening that makes today safe, the acid and strength, layers and timing, the endpoint you reached, and how the skin responded.

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Last reviewed September 2026 · Not legal advice

Part of the Chemical peel treatment guide →

The details that decide the next peel

Peels are progressed from what happened last time, so the record has to be precise. Note the product, the acid and its percentage, how the skin was prepped, how many layers were applied, the contact time, whether and how the peel was neutralised, and the endpoint reached, whether that's even erythema or a stated level of frosting.

The screening matters as much as the settings. Record Fitzpatrick type, the date the client last used a retinoid, any isotretinoin in the past year, a history of cold sores, recent sun exposure, and the result of any patch test. These are the answers most likely to change what you do on the day.

Clinic name · address · phone

Chemical Peel Treatment Record

Visit

Patient / client name
Date of birth
Date of treatment
Session number (e.g. 2 of 6)

Screening

Fitzpatrick type
Retinoid last used (date)
Patch test date and result
Pre-treatment / priming products
  • Consent reviewed and signed
  • No isotretinoin in the past 12 months
  • No active cold sore; history noted
  • No recent sunburn or tanning
  • Not pregnant or breastfeeding
  • Baseline photos taken

Peel

Product
Acid(s) and strength (%)
Prep / degreasing
Neutralised with (or self-neutralising)
LayerAreaContact timeSkin response
1
2
3
4
Endpoint reached:
  • Mild erythema
  • Even erythema
  • Level 1 frost (patchy)
  • Level 2 frost (even, pink showing)
  • Level 3 frost (solid white)

After treatment

Post-peel products and SPF applied
Client comfort / adverse reactions
  • Aftercare instructions given
  • Retinoid restart date given
  • Next session booked

Sign-off

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

Template from zdrovia.ca/templates/chemical-peel-treatment-record/ · 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 aestheticians.

Frequently asked questions

What should be on a chemical peel treatment record?

Screening answers (Fitzpatrick type, retinoid and isotretinoin use, cold sore history, sun exposure, patch test), the product, acid and strength, prep, number of layers and contact time, neutralisation, the endpoint reached, post-care applied, and the skin's response.

Why record frosting level?

Frosting is a visible sign of how deeply the peel has acted. Recording it alongside the layers and timing lets you progress, or hold back, the next peel based on evidence rather than memory.

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.