Dept of Skin – Esthetician Protocol Generator
Internal-facing intake form. Answer quickly using button options; hit Generate Protocol to auto-build treatment steps, post-care, and email copy.

Client Info

Daytime
Evening

Skin Concerns

Multi-select primary concerns.
Acne / Breakouts
Fine Lines / Wrinkles
Hyperpigmentation
Redness / Sensitivity
Dehydration
Oiliness
Texture
Large Pores
Other

Upcoming Events

Helps decide if peel / aggressive exfoliation is safe today.
No event
< 7 days
7–14 days
> 14 days

Lifestyle

Yes
No
Low / Mostly Indoors
Moderate
High / Outdoor
Daily
Sometimes
Rarely / Never
Stressed / Poor sleep
Mixed
Pretty balanced

Contraindications & Treatment History

Use mostly as quick taps. The generator will flag “defer,” “modify,” or “ok with caution.”
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
None / > 4 weeks
< 7 days
7–14 days
14–28 days
None / > 2 weeks
< 14 days
None / > 2 weeks
< 14 days
Never
Currently taking
Stopped < 6 months
Stopped > 6 months
Eczema
Psoriasis
Dermatitis
Rosacea
Other

Treatment Length

Determines number of modalities and depth of each step.
50 min
75 min
90 min

Fitzpatrick Type

For peel safety + pigment risk.
I – Very fair, always burns, never tans
II – Fair, usually burns, tans minimally
III – Medium, sometimes burns, tans gradually
IV – Olive, rarely burns, tans easily
V – Brown, very rarely burns, tans very easily
VI – Deeply pigmented, never burns

1) Treatment Protocol (Esthetician-Facing)

Protocol will appear here after you click "Generate Protocol".

2) Client Email (Copy–Paste)

3) Esthetician Notes + Home Care & Lifestyle