CONFIDENTIAL · CLINICAL USE ONLY
1 · Patient
2 · Concerns
3 · Plan
4 · Documents
Patient Info
Fill in after assessment. All fields inform the plan output.
Medical Flags
Melasma / PIH history
Keloid tendency
Autoimmune condition
Recent isotretinoin
Poor wound healing
Active smoking
Blood thinners
None
Chief Concern
Patient's own words
Clinical Assessment
Select all that apply from your full-face assessment
Upper face lines
Brow heaviness
Under-eye hollows
Midface volume loss
Nasolabial / marionette
Thin / uneven lips
Jawline / chin definition
Neck laxity / bands
Skin laxity / crepey
Pigment / melasma
Texture / pores
Dullness / glow
Prevention / aging well
Hair loss
Provider Notes
Patient Plan
SOAP Note
Skincare Detail

Patient Treatment Plan

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Injector SOAP Note

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ZO Skincare Protocol

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Patient Evaluation
Fill in after assessment. All fields inform the protocol output.
Primary Skin Concerns
Select all that apply. Protocol will follow ZO manual stacking rules.
Early Aging
Moderate Aging
Advanced Aging
Severe Aging / Photoaging
Mild Pigmentation
Moderate Pigmentation
Severe Pigmentation / Melasma
Resistant Melasma
Mild Redness / Rosacea
Moderate Rosacea
Severe Rosacea
Mild Acne
Moderate Acne
Severe Acne / Cystic
Oiliness + Enlarged Pores
Skin Laxity / Sagging
Rough Texture / Scarring
Sensitized / Weak Skin
Pre-Procedure Conditioning
Post-Procedure Recovery
Contraindications / Flags
Check all that apply — will modify protocol automatically.
Pregnant or breastfeeding
Isotretinoin within 6 months
History of herpes simplex
On HQ > 4 months already
Highly sensitive / reactive skin
No neuromodulators
No laser / energy devices
Budget-conscious patient
ZO Skin Health Regimen
Protocol

StepProductScheduleDoseWhy (Physiology)
Anticipated Reaction Timeline
Per ZO Manual
Protocol Tweak Schedule
When to Adjust
Recommended Modalities — Dr. V Aesthetics
Your Clinic

Best Membership for This Patient
Financial Fit
In-Room Upsell Script
Say This
What NOT To Do
Patient Instructions
    Patient Summary Text — Copy to AR
    Send via AR

    Copy this into Aesthetic Record and send to patient after consult.

    View Sheet ↗
    In-Room Lead Qualifier
    Staff use only. Enter the lead's name and service interest — Zoe KB logic qualifies them instantly.
    Neurotoxin / Tox
    Lip Filler
    Filler (other)
    Laser Hair Removal
    Tattoo Removal
    IPL Photofacial
    CO2 Laser
    Bloom & Rise
    P-Shot / O-Shot
    IV Therapy
    Weight Loss
    Membership
    Geneo Facial
    Vampire Breast Lift
    Microneedling
    RF Microneedling