Templates · Free template · Regenerative aesthetics

PRP Treatment Record Template

A printable record for platelet-rich plasma treatments, covering the blood draw, how the PRP was prepared, how it was delivered, and how the client responded, so a series can be compared session to session.

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Last reviewed September 2026 · Not legal advice

Record the preparation, not just the treatment

PRP is prepared from the client's own blood at the visit, so the preparation is part of the treatment. Record the volume drawn, the collection system and kit lot, the centrifuge settings, and the volume of PRP produced. Two sessions with the same technique can differ if the preparation did, and the record is the only way to tell.

Then record the delivery: injected, microneedled, or both, which areas, how much per area, and any anaesthetic used. For hair and facial series alike, baseline and follow-up photos taken under the same lighting are what make a result assessable.

Clinic name · address · phone

PRP Treatment Record

Visit

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

Pre-treatment

  • Consent reviewed and signed
  • Medical history, anticoagulants, and platelet disorders reviewed
  • No NSAID or aspirin use as advised
  • Well hydrated
  • Baseline photos taken
  • Area cleansed and anaesthetic applied

Preparation

Blood drawn (mL)
Collection kit and lot
Centrifuge speed and time
PRP volume produced (mL)
Activated / non-activated
Prepared by

Delivery

Method:
  • Intradermal injection
  • Microneedling with PRP
  • Scalp injection
  • Other
AreaPRP volume (mL)Depth / techniqueNotes
Scalp — frontal
Scalp — crown
Cheeks
Periorbital
Other

After treatment

Response / adverse reactions
  • Aftercare instructions given
  • Photos taken
  • Next session booked

Sign-off

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

Template from zdrovia.ca/templates/prp-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 med spas.

Frequently asked questions

What should a PRP record include?

The volume drawn, collection kit and lot, centrifuge settings, volume of PRP produced, the delivery method and areas treated, the volume per area, the response, and photos. Preparation details matter because they vary between sessions.

How many PRP sessions are usually charted?

That depends on the protocol and the practitioner. The record includes a session number field so the series and its intervals are visible at a glance.

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.