A detailed record for documenting neurotoxin treatments, including injection sites, dosages, and patient response.

This downloadable Neurotoxin Injection Treatment Form is an essential tool for medical aesthetics providers performing Botox, Xeomin, Dysport, or Jeuveau treatments.

Designed to ensure accurate documentation and enhance patient safety, it features a detailed injection site chart, dosage tracking by area, dilution reference table, and fields for lot number, expiration date, and clinician notes. Ideal for consistent tracking of touch-ups and repeat visits, this form supports streamlined workflows and continuity of care. Download, print, and keep it on hand to standardize every neurotoxin treatment in your practice.