01Workflow
Consultation, photo consent and the treatment record
In Scotland, HIS inspectors reading an aesthetics clinic's records found consent signed on the day of treatment, with doses, batch numbers and expiry dates recorded.1 The same record is what a patient, an insurer or a regulator asks for anywhere after a complication.
- Send information at booking. The medical questionnaire, the consent form, the risks and the aftercare go to the patient before they arrive.1
- Consult in person. The practitioner assesses suitability face to face, and the outcome is written into the patient care record.1
- Record consent, photographs included. Consent to treatment is recorded, with the patient's separate answer on clinical photographs and on any use beyond the record.2
- Sign on the day. Patient and practitioner sign the consent form on the day of treatment, after the discussion.1
- Write the treatment record. Product, dose, batch number, expiry date and the areas treated go into the note the practitioner signs.1
- Record the aftercare. What the patient was told to watch for, and how to reach the clinic if something goes wrong.
How wai handles it
- Evidence and audit trail. Consent taken at booking is recorded on the patient's record, including the answer on photographs, and every read of that record is logged against a named account.
- Scribe. The note is written from the consultation with the product, dose, batch and areas treated, for the practitioner to read, edit and sign.
- Appointments. Consultation and treatment are separate appointments in the practitioner's own diary, with a reminder before each one.
- Billing. The price and the cancellation policy are shown at booking, and the payment is reconciled against the visit.


