This article contains Chart Note Templates to be used while charting consultative visits. Below are approximately 40 templates corresponding to the most common aesthetic procedures.
IMPORTANT: To have any of these templates moved into your practice account, email support@remedly.com with the name of the template(s) you would like, and a member of our team will move them into your account for you.
You can further customize these templates once we have moved them into your account. Click on the desired template name below to view details.
Table of Contents:
Abdomen/ Trunk A & P
Aesthetic History
Arms/Upper Extremity A & P
Blepharoplasty Consult & History
BodyLogic Preoperative Worksheet
Breast - Assessment and Plan
Burn A & P
Carpal Tunnel A & P
Chin/Jaw A & P
Complete - Brow and Eye
Consulting Note - Abdomen
Ears A & P
Face Aging - General
Facial Trauma A & P
Finger Tip A & P
General Consult/Exam
General Consultation Note: Blepharoplasty
General Consultation Note: Breast Augmentation
Gynecomastia A & P
Hand Infection A & P
Hand Injury A & P
Labia A & P
Laceration A & P
Laser Patient Assessment
Lips/Mouth A & P
MLT Patient Questionnaire
Neck A & P
Nose A & P
Patient Health Info
Pre-Op Exam
Skin Consultation
STOP BANG Questionnaire
Transgender Medical History
Velashape Patient History
Abdomen/ Trunk A & P![Screen_Shot_2020-11-05_at_10.05.20_AM.png](/hc/article_attachments/360098855753/Screen_Shot_2020-11-05_at_10.05.20_AM.png)
![Screen_Shot_2020-11-05_at_10.05.35_AM.png](/hc/article_attachments/360096540914/Screen_Shot_2020-11-05_at_10.05.35_AM.png)
![Screen_Shot_2020-11-05_at_10.05.54_AM.png](/hc/article_attachments/360098856153/Screen_Shot_2020-11-05_at_10.05.54_AM.png)
![Screen_Shot_2020-11-05_at_10.06.10_AM.png](/hc/article_attachments/360098856393/Screen_Shot_2020-11-05_at_10.06.10_AM.png)
![Screen_Shot_2020-11-05_at_10.06.23_AM.png](/hc/article_attachments/360098856453/Screen_Shot_2020-11-05_at_10.06.23_AM.png)
![Screen_Shot_2020-11-05_at_10.06.40_AM.png](/hc/article_attachments/360096541394/Screen_Shot_2020-11-05_at_10.06.40_AM.png)
![Screen_Shot_2020-11-05_at_10.06.52_AM.png](/hc/article_attachments/360098858473/Screen_Shot_2020-11-05_at_10.06.52_AM.png)
![Screen_Shot_2020-11-05_at_10.07.09_AM.png](/hc/article_attachments/360098858813/Screen_Shot_2020-11-05_at_10.07.09_AM.png)
![Screen_Shot_2020-11-05_at_10.07.28_AM.png](/hc/article_attachments/360096543414/Screen_Shot_2020-11-05_at_10.07.28_AM.png)
![Screen_Shot_2020-11-05_at_10.07.39_AM.png](/hc/article_attachments/360096543534/Screen_Shot_2020-11-05_at_10.07.39_AM.png)
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Aesthetic History
![Screen_Shot_2020-11-05_at_10.29.33_AM.png](/hc/article_attachments/360098862993/Screen_Shot_2020-11-05_at_10.29.33_AM.png)
![Screen_Shot_2020-11-05_at_10.29.49_AM.png](/hc/article_attachments/360096547334/Screen_Shot_2020-11-05_at_10.29.49_AM.png)
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Arms/Upper Extremity A & P
![Screen_Shot_2020-11-05_at_10.34.58_AM.png](/hc/article_attachments/360096549774/Screen_Shot_2020-11-05_at_10.34.58_AM.png)
![Screen_Shot_2020-11-05_at_10.35.17_AM.png](/hc/article_attachments/360098865933/Screen_Shot_2020-11-05_at_10.35.17_AM.png)
![Screen_Shot_2020-11-05_at_10.35.39_AM.png](/hc/article_attachments/360096549834/Screen_Shot_2020-11-05_at_10.35.39_AM.png)
![Screen_Shot_2020-11-05_at_10.36.18_AM.png](/hc/article_attachments/360098865953/Screen_Shot_2020-11-05_at_10.36.18_AM.png)
![Screen_Shot_2020-11-05_at_10.36.28_AM.png](/hc/article_attachments/360098865973/Screen_Shot_2020-11-05_at_10.36.28_AM.png)
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Blepharoplasty Consult & History![Screen_Shot_2020-11-05_at_10.41.53_AM.png](/hc/article_attachments/360098868053/Screen_Shot_2020-11-05_at_10.41.53_AM.png)
![Screen_Shot_2020-11-05_at_10.42.05_AM.png](/hc/article_attachments/360098868073/Screen_Shot_2020-11-05_at_10.42.05_AM.png)
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BodyLogic Preoperative Worksheet![Screen_Shot_2020-11-05_at_10.46.53_AM.png](/hc/article_attachments/360098868693/Screen_Shot_2020-11-05_at_10.46.53_AM.png)
![Screen_Shot_2020-11-05_at_10.47.05_AM.png](/hc/article_attachments/360098868733/Screen_Shot_2020-11-05_at_10.47.05_AM.png)
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Breast - Assessment and Plan
![Screen_Shot_2020-11-05_at_10.49.37_AM.png](/hc/article_attachments/360098869153/Screen_Shot_2020-11-05_at_10.49.37_AM.png)
![Screen_Shot_2020-11-05_at_10.49.47_AM.png](/hc/article_attachments/360098869173/Screen_Shot_2020-11-05_at_10.49.47_AM.png)
![Screen_Shot_2020-11-05_at_10.49.58_AM.png](/hc/article_attachments/360096552694/Screen_Shot_2020-11-05_at_10.49.58_AM.png)
![Screen_Shot_2020-11-05_at_10.50.08_AM.png](/hc/article_attachments/360096552774/Screen_Shot_2020-11-05_at_10.50.08_AM.png)
![Screen_Shot_2020-11-05_at_10.50.31_AM.png](/hc/article_attachments/360098869293/Screen_Shot_2020-11-05_at_10.50.31_AM.png)
![Screen_Shot_2020-11-05_at_10.50.45_AM.png](/hc/article_attachments/360098869313/Screen_Shot_2020-11-05_at_10.50.45_AM.png)
![Screen_Shot_2020-11-05_at_10.50.58_AM.png](/hc/article_attachments/360098869393/Screen_Shot_2020-11-05_at_10.50.58_AM.png)
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Burn A & P![Screen_Shot_2020-11-05_at_10.58.30_AM.png](/hc/article_attachments/360096553374/Screen_Shot_2020-11-05_at_10.58.30_AM.png)
![Screen_Shot_2020-11-05_at_10.58.42_AM.png](/hc/article_attachments/360098870193/Screen_Shot_2020-11-05_at_10.58.42_AM.png)
![Screen_Shot_2020-11-05_at_10.58.51_AM.png](/hc/article_attachments/360098870213/Screen_Shot_2020-11-05_at_10.58.51_AM.png)
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Carpal Tunnel A & P![Screen_Shot_2020-11-05_at_11.04.37_AM.png](/hc/article_attachments/360098870493/Screen_Shot_2020-11-05_at_11.04.37_AM.png)
![Screen_Shot_2020-11-05_at_11.04.46_AM.png](/hc/article_attachments/360096553514/Screen_Shot_2020-11-05_at_11.04.46_AM.png)
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Chin/Jaw A & P
![Screen_Shot_2020-11-05_at_11.07.53_AM.png](/hc/article_attachments/360096553814/Screen_Shot_2020-11-05_at_11.07.53_AM.png)
![Screen_Shot_2020-11-05_at_11.08.02_AM.png](/hc/article_attachments/360098870833/Screen_Shot_2020-11-05_at_11.08.02_AM.png)
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Complete - Brow and Eye![Screen_Shot_2020-11-05_at_11.10.42_AM.png](/hc/article_attachments/360096554214/Screen_Shot_2020-11-05_at_11.10.42_AM.png)
![Screen_Shot_2020-11-05_at_11.10.52_AM.png](/hc/article_attachments/360098871313/Screen_Shot_2020-11-05_at_11.10.52_AM.png)
![Screen_Shot_2020-11-05_at_11.11.07_AM.png](/hc/article_attachments/360096554234/Screen_Shot_2020-11-05_at_11.11.07_AM.png)
![Screen_Shot_2020-11-05_at_11.11.21_AM.png](/hc/article_attachments/360096554254/Screen_Shot_2020-11-05_at_11.11.21_AM.png)
![Screen_Shot_2020-11-05_at_11.11.33_AM.png](/hc/article_attachments/360098871333/Screen_Shot_2020-11-05_at_11.11.33_AM.png)
![Screen_Shot_2020-11-05_at_11.11.43_AM.png](/hc/article_attachments/360096554274/Screen_Shot_2020-11-05_at_11.11.43_AM.png)
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Consulting Note - Abdomen
![Screen_Shot_2020-11-05_at_11.15.25_AM.png](/hc/article_attachments/360098871633/Screen_Shot_2020-11-05_at_11.15.25_AM.png)
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Ears A & P
![Screen_Shot_2020-11-05_at_11.17.48_AM.png](/hc/article_attachments/360096554894/Screen_Shot_2020-11-05_at_11.17.48_AM.png)
![Screen_Shot_2020-11-05_at_11.18.03_AM.png](/hc/article_attachments/360098871973/Screen_Shot_2020-11-05_at_11.18.03_AM.png)
![Screen_Shot_2020-11-05_at_11.18.20_AM.png](/hc/article_attachments/360096554954/Screen_Shot_2020-11-05_at_11.18.20_AM.png)
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Face Aging - General
![Screen_Shot_2020-11-05_at_11.27.02_AM.png](/hc/article_attachments/360096558694/Screen_Shot_2020-11-05_at_11.27.02_AM.png)
![Screen_Shot_2020-11-05_at_11.27.14_AM.png](/hc/article_attachments/360096558734/Screen_Shot_2020-11-05_at_11.27.14_AM.png)
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Facial Trauma A & P![Screen_Shot_2020-11-05_at_11.43.00_AM.png](/hc/article_attachments/360098876513/Screen_Shot_2020-11-05_at_11.43.00_AM.png)
![Screen_Shot_2020-11-05_at_11.42.51_AM.png](/hc/article_attachments/360096559554/Screen_Shot_2020-11-05_at_11.42.51_AM.png)
![Screen_Shot_2020-11-05_at_11.42.33_AM.png](/hc/article_attachments/360098876493/Screen_Shot_2020-11-05_at_11.42.33_AM.png)
![Screen_Shot_2020-11-05_at_11.42.21_AM.png](/hc/article_attachments/360096559514/Screen_Shot_2020-11-05_at_11.42.21_AM.png)
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Finger Tip A & P
![Screen_Shot_2020-11-05_at_11.53.39_AM.png](/hc/article_attachments/360098877953/Screen_Shot_2020-11-05_at_11.53.39_AM.png)
![Screen_Shot_2020-11-05_at_11.53.26_AM.png](/hc/article_attachments/360096560694/Screen_Shot_2020-11-05_at_11.53.26_AM.png)
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General Consult/Exam
![Screen_Shot_2020-11-05_at_11.55.43_AM.png](/hc/article_attachments/360098878193/Screen_Shot_2020-11-05_at_11.55.43_AM.png)
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General Consultation Note: Blepharoplasty
![Screen_Shot_2020-11-05_at_11.59.54_AM.png](/hc/article_attachments/360098879113/Screen_Shot_2020-11-05_at_11.59.54_AM.png)
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General Consultation Note: Breast Augmentation
![Screen_Shot_2020-11-05_at_12.03.46_PM.png](/hc/article_attachments/360098879453/Screen_Shot_2020-11-05_at_12.03.46_PM.png)
![Screen_Shot_2020-11-05_at_12.03.36_PM.png](/hc/article_attachments/360098879433/Screen_Shot_2020-11-05_at_12.03.36_PM.png)
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Gynecomastia A & P
![Screen_Shot_2020-11-05_at_12.07.11_PM.png](/hc/article_attachments/360098879793/Screen_Shot_2020-11-05_at_12.07.11_PM.png)
![Screen_Shot_2020-11-05_at_12.07.03_PM.png](/hc/article_attachments/360096562674/Screen_Shot_2020-11-05_at_12.07.03_PM.png)
![Screen_Shot_2020-11-05_at_12.06.46_PM.png](/hc/article_attachments/360096562634/Screen_Shot_2020-11-05_at_12.06.46_PM.png)
![Screen_Shot_2020-11-05_at_12.06.29_PM.png](/hc/article_attachments/360096562654/Screen_Shot_2020-11-05_at_12.06.29_PM.png)
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Hand Infection A & P
![Screen_Shot_2020-11-05_at_12.10.56_PM.png](/hc/article_attachments/360098880093/Screen_Shot_2020-11-05_at_12.10.56_PM.png)
![Screen_Shot_2020-11-05_at_12.10.44_PM.png](/hc/article_attachments/360096562914/Screen_Shot_2020-11-05_at_12.10.44_PM.png)
![Screen_Shot_2020-11-05_at_12.10.24_PM.png](/hc/article_attachments/360096562894/Screen_Shot_2020-11-05_at_12.10.24_PM.png)
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Hand Injury A & P![Screen_Shot_2020-11-05_at_12.13.55_PM.png](/hc/article_attachments/360098880573/Screen_Shot_2020-11-05_at_12.13.55_PM.png)
![Screen_Shot_2020-11-05_at_12.13.44_PM.png](/hc/article_attachments/360096563214/Screen_Shot_2020-11-05_at_12.13.44_PM.png)
![Screen_Shot_2020-11-05_at_12.13.25_PM.png](/hc/article_attachments/360098880553/Screen_Shot_2020-11-05_at_12.13.25_PM.png)
![Screen_Shot_2020-11-05_at_12.13.12_PM.png](/hc/article_attachments/360096563194/Screen_Shot_2020-11-05_at_12.13.12_PM.png)
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Laceration A & P![Screen_Shot_2020-11-05_at_12.23.00_PM.png](/hc/article_attachments/360098882153/Screen_Shot_2020-11-05_at_12.23.00_PM.png)
![Screen_Shot_2020-11-05_at_12.23.09_PM.png](/hc/article_attachments/360098882133/Screen_Shot_2020-11-05_at_12.23.09_PM.png)
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Laser Patient Assessment ![Screen_Shot_2020-11-05_at_12.26.46_PM.png](/hc/article_attachments/360098882913/Screen_Shot_2020-11-05_at_12.26.46_PM.png)
![Screen_Shot_2020-11-05_at_12.26.37_PM.png](/hc/article_attachments/360098882893/Screen_Shot_2020-11-05_at_12.26.37_PM.png)
![Screen_Shot_2020-11-05_at_12.26.25_PM.png](/hc/article_attachments/360098882933/Screen_Shot_2020-11-05_at_12.26.25_PM.png)
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Lips/Mouth A & P![Screen_Shot_2020-11-05_at_12.30.13_PM.png](/hc/article_attachments/360096565394/Screen_Shot_2020-11-05_at_12.30.13_PM.png)
![Screen_Shot_2020-11-05_at_12.30.27_PM.png](/hc/article_attachments/360096565414/Screen_Shot_2020-11-05_at_12.30.27_PM.png)
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MLT Patient Questionnaire![Screen_Shot_2020-11-05_at_12.33.42_PM.png](/hc/article_attachments/360098883713/Screen_Shot_2020-11-05_at_12.33.42_PM.png)
![Screen_Shot_2020-11-05_at_12.33.49_PM.png](/hc/article_attachments/360098883753/Screen_Shot_2020-11-05_at_12.33.49_PM.png)
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Neck A & P![Screen_Shot_2020-11-05_at_12.36.11_PM.png](/hc/article_attachments/360098884273/Screen_Shot_2020-11-05_at_12.36.11_PM.png)
![Screen_Shot_2020-11-05_at_12.36.29_PM.png](/hc/article_attachments/360098884293/Screen_Shot_2020-11-05_at_12.36.29_PM.png)
![Screen_Shot_2020-11-05_at_12.36.37_PM.png](/hc/article_attachments/360098884313/Screen_Shot_2020-11-05_at_12.36.37_PM.png)
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Nose A & P
![Screen_Shot_2020-11-05_at_12.39.17_PM.png](/hc/article_attachments/360098885713/Screen_Shot_2020-11-05_at_12.39.17_PM.png)
![Screen_Shot_2020-11-05_at_12.39.31_PM.png](/hc/article_attachments/360098885733/Screen_Shot_2020-11-05_at_12.39.31_PM.png)
![Screen_Shot_2020-11-05_at_12.39.43_PM.png](/hc/article_attachments/360098885753/Screen_Shot_2020-11-05_at_12.39.43_PM.png)
![Screen_Shot_2020-11-05_at_12.39.53_PM.png](/hc/article_attachments/360098885793/Screen_Shot_2020-11-05_at_12.39.53_PM.png)
![Screen_Shot_2020-11-05_at_12.40.03_PM.png](/hc/article_attachments/360098885873/Screen_Shot_2020-11-05_at_12.40.03_PM.png)
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Patient Health Info
![Screen_Shot_2020-11-05_at_12.51.36_PM.png](/hc/article_attachments/360098886393/Screen_Shot_2020-11-05_at_12.51.36_PM.png)
![Screen_Shot_2020-11-05_at_12.51.49_PM.png](/hc/article_attachments/360098886433/Screen_Shot_2020-11-05_at_12.51.49_PM.png)
![Screen_Shot_2020-11-05_at_12.52.08_PM.png](/hc/article_attachments/360098886453/Screen_Shot_2020-11-05_at_12.52.08_PM.png)
![Screen_Shot_2020-11-05_at_12.52.19_PM.png](/hc/article_attachments/360098886473/Screen_Shot_2020-11-05_at_12.52.19_PM.png)
![Screen_Shot_2020-11-05_at_12.52.36_PM.png](/hc/article_attachments/360098886493/Screen_Shot_2020-11-05_at_12.52.36_PM.png)
![Screen_Shot_2020-11-05_at_12.52.48_PM.png](/hc/article_attachments/360098886613/Screen_Shot_2020-11-05_at_12.52.48_PM.png)
![Screen_Shot_2020-11-05_at_12.52.59_PM.png](/hc/article_attachments/360098886633/Screen_Shot_2020-11-05_at_12.52.59_PM.png)
![Screen_Shot_2020-11-05_at_12.53.07_PM.png](/hc/article_attachments/360096568174/Screen_Shot_2020-11-05_at_12.53.07_PM.png)
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Pre-Op Exam
![Screen_Shot_2020-11-05_at_12.57.06_PM.png](/hc/article_attachments/360096568594/Screen_Shot_2020-11-05_at_12.57.06_PM.png)
![Screen_Shot_2020-11-05_at_12.57.16_PM.png](/hc/article_attachments/360098887033/Screen_Shot_2020-11-05_at_12.57.16_PM.png)
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Skin Consultation
![Screen_Shot_2020-11-05_at_12.59.27_PM.png](/hc/article_attachments/360098887293/Screen_Shot_2020-11-05_at_12.59.27_PM.png)
![Screen_Shot_2020-11-05_at_12.59.39_PM.png](/hc/article_attachments/360098887333/Screen_Shot_2020-11-05_at_12.59.39_PM.png)
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STOP BANG Questionnaire
![Screen_Shot_2020-11-05_at_1.02.47_PM.png](/hc/article_attachments/360096569294/Screen_Shot_2020-11-05_at_1.02.47_PM.png)
![Screen_Shot_2020-11-05_at_1.02.56_PM.png](/hc/article_attachments/360096569334/Screen_Shot_2020-11-05_at_1.02.56_PM.png)
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Transgender Medical History![Screen_Shot_2020-11-05_at_1.06.08_PM.png](/hc/article_attachments/360098888293/Screen_Shot_2020-11-05_at_1.06.08_PM.png)
![Screen_Shot_2020-11-05_at_1.06.20_PM.png](/hc/article_attachments/360098888353/Screen_Shot_2020-11-05_at_1.06.20_PM.png)
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Velashape Patient Assessment![Screen_Shot_2020-11-05_at_1.09.04_PM.png](/hc/article_attachments/360096571774/Screen_Shot_2020-11-05_at_1.09.04_PM.png)
![Screen_Shot_2020-11-05_at_1.09.13_PM.png](/hc/article_attachments/360096571814/Screen_Shot_2020-11-05_at_1.09.13_PM.png)
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