Patient History and Intake Form Template

$499 / 1 Credit

The Lengea Patient History and Intake Form Template ? Good Faith Exam Form is a comprehensive tool for medical spas to gather essential patient information during initial consultations. It covers patient consent, medical and surgical history, skin concerns, current medications, allergies, and lifestyle factors. It also includes a dedicated ?Good Faith Exam? section, where licensed providers document prescribed treatments, ensuring all required information is collected to support safe, personalized care.

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