Vanity or Vice · Consultation Receipt v2
Consultation verification record
Educational decision record only. Not a diagnosis, treatment recommendation, provider endorsement, or safety guarantee. Sensitive data stays local.
1. Intervention
| Service | — |
|---|---|
| Product / device / drug | — |
| Area | — |
| Framing | — |
2. Provider
| Performer | — |
|---|---|
| License / role | — |
| Supervisor | — |
| Consent | — |
| Complications owner | — |
3. Claimed outcome
| Literal claim | — |
|---|---|
| Magnitude | — |
| Timing | — |
| Limits | — |
| Evidence source | — |
4. Risks & recovery
| Short-term | — |
|---|---|
| Serious | — |
| Contraindications | — |
| Downtime | — |
| Warning signs | — |
5. Cost & maintenance
| Sessions | — |
|---|---|
| Maintenance plan | — |
| Total | $0.00 |
| Breakdown | consult $0.00, treat $0.00, add-ons $0.00, meds $0.00, follow-up $0.00, maint $0.00, travel $0.00 |
6. Decision
| Unresolved | — |
|---|---|
| Provider questions | — |
| Decision state | — |
| Reason | — |
| Open gaps | Exact service name; Exact product/device/drug; Treatment area; Clear use framing; Who performs; License / role; Consent status; After-hours complications owner; Literal outcome claim; Magnitude / limits honesty; Evidence / verification source; Serious risks named; Escalation / warning signs; Contraindications discussed; Downtime range; Any cost figures; Decision state; Decision reason; Written provider questions; Reassessment date/note; Session / series count; Maintenance plan named; Unresolved items listed; Common risks named |
Next actions
- Fill: Exact service name — High-weight field “Exact service name” is empty (weight 10). → Without this, the receipt cannot identify the intervention or safety communication path. Next: Write a specific, verifiable value for exact service name before cash commitment. Why: Readiness completeness · critical keys Alt: If unknown, write the exact question to ask the clinic and set decision to waiting. Note: Current readiness 3/100 — Not ready to commit cash
- Fill: Exact product/device/drug — High-weight field “Exact product/device/drug” is empty (weight 10). → Without this, the receipt cannot identify the intervention or safety communication path. Next: Write a specific, verifiable value for exact product/device/drug before cash commitment. Why: Readiness completeness · critical keys Alt: If unknown, write the exact question to ask the clinic and set decision to waiting. Note: Current readiness 3/100 — Not ready to commit cash
- Fill: Who performs — High-weight field “Who performs” is empty (weight 8). → Without this, the receipt cannot identify the intervention or safety communication path. Next: Write a specific, verifiable value for who performs before cash commitment. Why: Readiness completeness · critical keys Alt: If unknown, write the exact question to ask the clinic and set decision to waiting. Note: Current readiness 3/100 — Not ready to commit cash
- Fill: After-hours complications owner — High-weight field “After-hours complications owner” is empty (weight 8). → Without this, the receipt cannot identify the intervention or safety communication path. Next: Write a specific, verifiable value for after-hours complications owner before cash commitment. Why: Readiness completeness · critical keys Alt: If unknown, write the exact question to ask the clinic and set decision to waiting. Note: Current readiness 3/100 — Not ready to commit cash
- Fill: Serious risks named — High-weight field “Serious risks named” is empty (weight 10). → Without this, the receipt cannot identify the intervention or safety communication path. Next: Write a specific, verifiable value for serious risks named before cash commitment. Why: Readiness completeness · critical keys Alt: If unknown, write the exact question to ask the clinic and set decision to waiting. Note: Current readiness 3/100 — Not ready to commit cash
- Fill: Escalation / warning signs — High-weight field “Escalation / warning signs” is empty (weight 7). → Without this, the receipt cannot identify the intervention or safety communication path. Next: Write a specific, verifiable value for escalation / warning signs before cash commitment. Why: Readiness completeness · critical keys Alt: If unknown, write the exact question to ask the clinic and set decision to waiting. Note: Current readiness 3/100 — Not ready to commit cash
- Fill: Session / series count — High-weight field “Session / series count” is empty (weight 4). → Without this, the receipt cannot identify the intervention or safety communication path. Next: Write a specific, verifiable value for session / series count before cash commitment. Why: Readiness completeness · critical keys Alt: If unknown, write the exact question to ask the clinic and set decision to waiting. Note: Current readiness 3/100 — Not ready to commit cash
- Fill: Treatment area — Open gap: Treatment area (weight 4). → Partial records create false confidence at the payment desk. Next: Complete treatment area or document why it is unknowable today. Why: Readiness completeness rules Note: Score 3/100
- Fill: Clear use framing — Open gap: Clear use framing (weight 4). → Partial records create false confidence at the payment desk. Next: Complete clear use framing or document why it is unknowable today. Why: Readiness completeness rules Note: Score 3/100
- Fill: License / role — Open gap: License / role (weight 7). → Partial records create false confidence at the payment desk. Next: Complete license / role or document why it is unknowable today. Why: Readiness completeness rules Note: Score 3/100
Reassessment
- No reassessment notes yet.