Aesthetic Treatment Regulatory Approval Tracking Form
Track the regulatory approval status, details, and responsible contacts for each aesthetic treatment in your organization.
Treatment Name
*
Treatment Type
*
Please Select
Injectable
Laser
Topical
Device-Based
Other
Regulatory Body
*
Please Select
FDA
EMA
Health Canada
MHRA
TGA
Other
Application Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Approval Status
*
Pending
Approved
Rejected
Withdrawn
Approval Date (if applicable)
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reference Number / Application ID
Responsible Contact Person
*
First Name
Last Name
Facility or Clinic Name
*
Additional Comments or Notes
Submit Approval Record
Should be Empty: