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RF Skin Tightening Treatment Record Template

A printable record for radiofrequency and similar energy-based tightening treatments: device and handpiece, energy per area, passes, skin temperature, and the endpoint reached.

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Last reviewed September 2026 · Not legal advice

Log the energy and the endpoint

RF treatments are delivered by feel and by measurement: the energy setting, the number of passes, the skin temperature or comfort endpoint. Record them per area, because face, neck, and body are treated differently.

Screening matters here: implants, pacemakers, and pregnancy are the classic exclusions. Tick them off on the record so it shows the check was made.

Clinic name · address · phone

RF Skin Tightening 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
  • No pacemaker or implanted electronic device
  • Metal implants in area reviewed
  • Not pregnant
  • Baseline photos taken
  • Area cleansed, jewellery removed

Device

Device
Handpiece / tip
Coupling medium
Cooling

Settings by area

AreaEnergyPassesSkin temp / endpointNotes
Forehead
Cheeks
Jawline
Neck
Abdomen
Other

After treatment

Response / adverse reactions
  • Cooling / soothing applied
  • SPF applied
  • Aftercare instructions given
  • Next session booked

Sign-off

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

Template from zdrovia.ca/templates/rf-skin-tightening-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 laser clinics.

Frequently asked questions

What contraindications go on the record?

Typically implanted electronic devices, metal in the treatment area, pregnancy, and active infection. Follow your device manufacturer's guidance.

Why record skin temperature?

It is the objective endpoint many protocols rely on. Recording it shows the treatment stayed within its intended range.

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.