This must demonstrate that the practitioner has a minimum of three years of experience delivering the procedures for which they will be assessed, OR has delivered a minimum of 100 of the qualification relevant procedures; 50 for each of the treatment modalities. The logbook must therefore contain the following: For Practitioners with 3+ Years Experience

Samples of treatment cases delivered over the past three years or more evidencing at least 10 treatments, per modality, per year.

OR For Practitioners with Less Than 3 Years Experience

Samples of treatment cases delivered within the past three years, evidencing at least 100 treatments total; 50 per treatment modality.

Candidates must provide a written reference from another *experienced practitioner

to confirm that the applicant has either performed at least 100 procedures safely or

has a minimum of three years respectable and safe practice.

*For an experienced practitioner to be authorised to write a written reference for an

applicant practitioner, this individual responsible for writing the reference must have

records to evidence their own satisfaction of either (a) or (b) above.

The Medical History

Consultation Record

✓ The patient’s concerns and goals

✓ Your assessment of indications for

treatment

✓ Any additional relevant information e.g.

related to medical history/risk factors and/ or social/psychological factors/recovery requirements.

✓ Realistic goals

✓ Treatments recommended to address

patients concerns

✓ Treatments discussed or signposted as

options

✓ Treatment plan agreed.

✓ Supporting written information provided to

the patient.

Consent Form

✓ An explanation of the treatment and

process

✓ The product used

✓ Patient motivations and expectations

✓ Common side effects

✓ Rare side effects

✓ How long it lasts

✓ Alternative treatments considered

✓ Material information

✓ Data protection and information sharing

✓ Before and after photographs

✓ Follow up and after care

✓ Costs

Treatment Record

✓ Product/medicine Lot and batch number

✓ Volume/dose used

✓ Route/mode of administration

✓ Sites of injection

✓ Follow up and aftercare advised

✓ Reference to before and after

photographs.

✓ Follow up notes

✓ *A written procedure protocol may be

referred to for routine steps consistently followed. This protocol must also be supplied.

Copies of any supporting written

information provided to patient

✓ Treatment information sheet

✓ Aftercare advice sheet * should include

contact details and emergency contact details.

Full patient records Must Contain:

We require 6 full patient records as described below per modality;

(a) 2 from each year for each modality or

(b) 6 of each modality in the period of practice with before and after photographs.

Documents must be dated and anonymised. Personal identifying information redacted (Name/address and signatures of the patient).

*Candidates must submit a signed declaration to confirm that the remainder of the records are consistent with the format outlined above.