Templates · Free template · Skin assessment

Skin Analysis Record Template

A printable skin analysis record that scores the same characteristics every visit, so change over a treatment plan is measured rather than remembered.

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Last reviewed September 2026 · Not legal advice

Score the same things every time

The value of a skin analysis comes from repetition. Choose a small set of characteristics and score them the same way every visit: hydration, oiliness, texture, pigmentation, redness, sensitivity. Add photos in the same light.

Note what you would like to change and the home-care and treatments you recommend. On the next analysis, the difference is visible without leaning on anyone's memory.

Clinic name · address · phone

Skin Analysis Record

Visit

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

Classification

Fitzpatrick type
Skin type
Sun exposure / SPF habits
Current skincare routine

Scores (1 to 5)

1 = no concern, 5 = significant concern.

CharacteristicScoreNotes
Hydration
Oiliness
Texture
Pigmentation
Redness
Fine lines
Congestion
Sensitivity

Plan

Goals
Treatments recommended
Home-care recommended

Sign-off

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

Template from zdrovia.ca/templates/skin-analysis-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 aestheticians.

Frequently asked questions

What is the Fitzpatrick scale?

A six-point classification of how skin responds to sun, widely used to guide energy-based treatments and peels.

How often should I repeat the analysis?

At the start of a course and again at its end is a common minimum, with progress notes in between.

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.