
Adolescent Preventing Harm & Protecting Patients Policies
Medical History & Acne Assessment Template
Clinic: HAUS OF ÄSTHETIK
Patient Name: ___________________________________
Date of Birth: ___________ (Minimum Age: 13)
Date of Consultation: ____________________________
Consulting Practitioner: __________________________
Section 1 – Consent & ID Verification
✅ Patient photo ID checked
✅ Parent/Guardian present (if not Gillick competent)
✅ Gillick Competence Assessment completed ☐ Yes ☐ No
✅ Consent for treatment signed ☐ Yes ☐ No
Section 2 – Presenting Complaint
Primary Skin Concern:
☐ Active Acne
☐ Post-Acne Scarring
☐ Pigmentation
☐ Texture Irregularity
☐ Other: ___________________________________________
Acne Distribution:
☐ Face
☐ Chest
☐ Back
☐ Shoulders
☐ Other: ___________________________________________
Onset:
☐ Pre-pubertal (<12)
☐ Early adolescence (12–15)
☐ Late adolescence (16–18)
☐ Adult-onset (>18)
☐ Unknown
Duration:
☐ <6 months
☐ 6–12 months
☐ >1 year
Section 3 – Acne Grading Scale (Tick one)
Please choose ONE validated tool to complete:
A. Global Acne Grading System (GAGS)
Region |
Factor |
Local Score (0–4) |
Score (Factor x Local) |
---|---|---|---|
Forehead |
×2 |
||
Right cheek |
×2 |
||
Left cheek |
×2 |
||
Nose |
×1 |
||
Chin |
×1 |
||
Chest/Back |
×3 |
||
Total Score |
Interpretation of GAGS Score:
-
1–18: Mild
-
19–30: Moderate
-
31–38: Severe
-
39: Very Severe
OR
B. Leeds Acne Grading Scale
☐ Grade 1: Comedones only
☐ Grade 2: Papules/pustules <10
☐ Grade 3: Moderate pustules/nodules 10–30
☐ Grade 4: Severe nodulocystic acne
☐ Grade 5: Scarring or nodules + active lesions
Section 4 – Medical & Acne History
Previous treatments tried (OTC & prescription):
☐ Benzoyl Peroxide
☐ Salicylic Acid
☐ Azelaic Acid
☐ Topical Antibiotics
☐ Oral Antibiotics (e.g. Lymecycline)
☐ Topical Retinoids (e.g. Adapalene)
☐ Combined oral contraceptives
☐ Roaccutane (Isotretinoin)
☐ Chemical Peels
☐ Laser / Light Therapy
☐ Other: ________________________________________
Duration of previous treatments:
Effectiveness / response:
☐ Good ☐ Moderate ☐ Poor ☐ Worsening
Discontinued due to:
☐ Side effects
☐ Cost
☐ Poor compliance
☐ Ineffective
☐ Other: _________________________________
Section 5 – Acne Triggers
Hormonal Factors:
☐ Premenstrual flares
☐ Irregular periods
☐ PCOS diagnosed
☐ Contraceptive use
Type: ____________________
☐ Hormonal acne suspected
☐ None identified
Dietary Factors (patient-reported):
☐ High dairy intake
☐ High glycaemic index foods
☐ Energy drinks / sugar
☐ Suspected food intolerance
☐ None
Lifestyle Factors:
☐ High stress
☐ Poor sleep
☐ Smoking / vaping
☐ Skincare misuse (e.g. harsh exfoliants)
☐ Occupational (e.g. oil exposure, PPE)
☐ Wearing makeup during exercise
☐ Use of occlusive face coverings (maskne)
☐ None
Section 6 – Skin Type & Sensitivities
Fitzpatrick Skin Type: ☐ I ☐ II ☐ III ☐ IV ☐ V ☐ VI
Known sensitivities or allergies: _______________________
Previous reaction to skincare or peels: ☐ Yes ☐ No
If yes, details: _______________________________________
Section 7 – Menstrual & Contraceptive History (if applicable)
Age of menarche: ________
Cycle regularity: ☐ Regular ☐ Irregular ☐ Absent
Contraceptive use: ☐ Yes ☐ No
Type: ____________________
Is pregnancy a possibility? ☐ Yes ☐ No
History of Roaccutane (Isotretinoin):
☐ Yes ☐ No ☐ Currently taking
If YES, confirm date stopped: ____________
NOTE: Patient cannot be treated within 6 months of stopping isotretinoin
Section 8 – Treatment Planning Suitability
Contraindications identified: ☐ Yes ☐ No
If yes, specify: ____________________________________
Is this patient suitable for:
-
Mesoestetic Blemiderm peel? ☐ Yes ☐ No
-
Ongoing monitored treatment? ☐ Yes ☐ No
-
GP referral or dermatologist required? ☐ Yes ☐ No
-
Parent/Guardian involvement required? ☐ Yes ☐ No
Section 9 – Consent & Planning
☐ Consent obtained
☐ Age-appropriate patient literature provided
☐ Aftercare explained and given in printed/digital format
☐ Parent/Guardian consent obtained (if applicable)
☐ Next review scheduled: ________________________
Practitioner Signature: ___________________________
Date: ___________________