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Skin Booster Treatment Record Template

A printable record for skin boosters and hydrating microinjections, covering product and lot, technique, injection points, and volume per area across a treatment series.

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Last reviewed September 2026 · Not legal advice

Record the technique alongside the product

Skin boosters can be placed with micro-boluses, threading, or a device, and results depend on the technique as much as the product. Record the product and lot, the technique, the depth, and the volume per area.

Because boosters are usually delivered as a short series, note the session number and the interval to the next. Photos under identical lighting are the only fair way to judge the gradual change.

Clinic name · address · phone

Skin Booster 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 and allergies reviewed
  • Baseline photos taken
  • Topical anaesthetic applied
  • Skin prepped

Treated areas

Blank face chart for marking skin booster injection points
Front view

Product and volume

Product and lot
Technique:
  • Micro-bolus
  • Threading
  • Device-assisted
  • Other
AreaVolume (mL)Needle / deviceDepth / notes
Face
Neck
Décolletage
Hands
Other
Total

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/skin-booster-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 skin booster record include?

Product and lot, technique, points or passes, volume per area, session number, response, and standardised photos.

How often are skin boosters repeated?

Intervals are set by the product and the practitioner. Use the session number and next-visit fields to show the schedule.

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.