Get Or Cosmetology - Esthetics Client Record Form

Filling out the OR Cosmetology - Esthetics Client Record Form online is essential for practitioners providing esthetic services in Oregon. This guide offers a clear and supportive overview of each section of the form, ensuring comprehensive understanding and compliance with the requirements.

Follow the steps to complete the form effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill out the client information section. Include the client's name (last, first, middle initial), address (city, state, zip), contact phone, birthdate, and email.
3. Enter the practitioner's information. Provide the practitioner's name and certification number. If the practitioner is working in a dual capacity, document the additional role.
4. In the services information section, record the date of service and list any services provided (up to three types). If chemical peels or dermaplaning are included, continue to the next section.
5. If applicable, provide details for chemical peels or dermaplaning. Document the location of the procedure on the body, any special medical or skin condition instructions, the client’s sensitivities, complications, and any referrals to health-care professionals.
6. For chemical peel services, indicate the chemical used (including brand name), the type of chemical peel, the number of layers applied, and the duration left on the skin. Also, describe pre-and post-treatment care.
7. In the client consent section, obtain the client's signature acknowledging that they have received and understood all pertinent information about the procedures and risks.
8. In the client waiver section, if the client refuses to provide personal information, ensure they sign the waiver. This documentation must be maintained as required.
9. After completing the form, save changes, and consider downloading, printing, or sharing the form for your records.

Start filling out the OR Cosmetology - Esthetics Client Record Form online today to ensure compliance and maintain accurate client records.