The chemical peel is one of the oldest procedures in aesthetics and, for that very reason, one of the most underestimated. Depending on the substance and depth, it causes a controlled injury to the skin, with peeling, redness and sensitivity. In skin more prone to dark spots, the risk of hyperpigmentation exists even in experienced hands. The consent form is the place to say so.
This template is generic for facial chemical peels, with no substance, concentration or brand. To understand the procedure, see chemical peel and peels and HOF.
When should you use this template?
At the assessment, before the first session, together with the medical history and preparation instructions. Update it if the substance, area or protocol changes.
The Fitzpatrick phototype helps calibrate caution, but it does not determine the indication on its own.
Chemical peel informed consent form template
What if the patient also has injectables?
Plan the calendar carefully and explain to the patient the reason for each interval. The topic comes up in everyday clinic questions, such as peel after botox and peel after filler. The informed consent should mention every procedure performed, and the staged plan can be recorded in the dedicated form.
Frequently asked questions
Does every chemical peel need an informed consent form?
It is recommended, because there are risks and aftercare the patient needs to know about, such as dark spots, peeling, sun sensitivity and infection. The depth of the peel affects the extent of the risks.
Should the form name the acid used?
Yes, record the substance, concentration and contact time in the patient chart. In the form, it is enough to state the type of peel, so the patient knows what it involves.
Why does the form talk so much about the sun?
Because skin that is renewing is more sensitive, and sun exposure raises the risk of dark spots. Sun protection guidance is an essential part of care.
