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5 MINUTE
assessment checklist

THE 5 MINUTE ASSESMENT CHECKLIST
When assessing a patient for VI Peel several areas should be examined to ensure best patient outcomes. Take an extra 5 minutes in the
beginning of the appointment and greatly reduce side effects while simultaneously guaranteeing patient satisfaction.

Step 1
Informed Consent - Your patient’s signature indicates they understand the risks, benefits and alternative treatments. We recommend
retaining the original copy and having them initial on each subsequent visit.

Step 2
Health History - It is vital to accurately assess and treat your patient. Below are the key areas to screen for the VI Peel

• Medical Conditions - diabetes, herpes simplex, immune issues, delays in healing
• Allergies - Aspirin, Phenol, and Hydroquinone

• Previous Cosmetic Treatments - and how long ago

Step 3
Physical Assessment - As practitioners, your physical assessment is the most important step in determining the best treatment option for
the patient.
• What is their Fitzpatrick Skin Type?

• What is their score on Acne, Rosacea, Melasma, or Glogau Scales?
• What is their Hydration Status - physical assessment or Wood’s Lamp?

Patient Profile - Engage patients early in the treatment process

• Lifestyle - Know your patient’s lifestyle. Are they mostly indoors or outdoors, do they attend their children’s soccer games, do
they have vacations planned.

• Treatment Needs - Patients need to know early on how many treatments they will need, what the treatment intervals are, and
what the aftercare entails.

• Patient Goals - Setting goals at the start of the treatments will make sure patients are satisfied and know what to expect in
terms of results.

Bonus Tip: Don’t forget before photographs via Visia or handheld camera because some patients forget how their skin looked when they
first came in.

Key Take-Aways

When you take the time to know your patient and their skin you can assure the patient has the best results with the least risk.
Happy patients keep coming back.

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