Capture identity, risks, series math, and provider questions before elective clinic spend — so readiness is written, not rushed. Educational literacy, not medical advice.
Templates & demos
Load a full template or demo — edit every field after. Drugstore-first options included.
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 55/100 — Thin record — slow the decision
readiness completeness rules
2
Fill: Escalation / warning signs
criticalRisk & downtime
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 55/100 — Thin record — slow the decision
readiness completeness rules
3
Fill: Session / series count
criticalReadiness
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 55/100 — Thin record — slow the decision
readiness completeness rules
4
Fill: Consent status
mediumProvider
Open gap: Consent status (weight 5). → Partial records create false confidence at the payment desk. Next: Complete consent status or document why it is unknowable today. Why: Readiness completeness rules Note: Score 55/100
readiness completeness rules
5
Fill: Literal outcome claim
highIdentity
Open gap: Literal outcome claim (weight 7). → Partial records create false confidence at the payment desk. Next: Complete literal outcome claim or document why it is unknowable today. Why: Readiness completeness rules Note: Score 55/100
readiness completeness rules
6
Fill: Magnitude / limits honesty
mediumIdentity
Open gap: Magnitude / limits honesty (weight 4). → Partial records create false confidence at the payment desk. Next: Complete magnitude / limits honesty or document why it is unknowable today. Why: Readiness completeness rules Note: Score 55/100
readiness completeness rules
7
Fill: Evidence / verification source
mediumIdentity
Open gap: Evidence / verification source (weight 6). → Partial records create false confidence at the payment desk. Next: Complete evidence / verification source or document why it is unknowable today. Why: Readiness completeness rules Note: Score 55/100
readiness completeness rules
8
Fill: Contraindications discussed
mediumRisk & downtime
Open gap: Contraindications discussed (weight 5). → Partial records create false confidence at the payment desk. Next: Complete contraindications discussed or document why it is unknowable today. Why: Readiness completeness rules Note: Score 55/100
readiness completeness rules
9
Cost vs educational ballpark
lowCost burden
Educational ballpark for HA filler: ~$600–$2500 per session (not a quote). → Logged treat cost ($900) sits inside a plausible educational range for this template. Next: Confirm inclusions (area, anesthesia, kits, touch-ups) in writing. Why: cost-ranges educational ballpark Alt: Three-session illustration at this treat line: ~$2700 before add-ons — replace with your written series total.
Pregnancy or breastfeeding status — confirm every active and procedure with a qualified clinician before use. → This modality class has known educational stop/ask items still unchecked in the record. Next: Copy into contraindications, unresolved, or questions; resolve before deposit. Why: Educational tolerance prompt — not medical advice
tolerance · consult template chips
Intelligence layers
How this tool reasons
Ranked actions are tagged by layer so you can see which rule family fired — not a diagnosis.
Identity
What is being done, to whom, with which product/device.
Tolerance / stops
Professional-review stops and barrier-breach prompts.
Readiness
Weighted completeness of the written consult record.
Cost burden
Session, series, maintenance, and travel dollars.
Reassessment
Dates, measures, and notes before expanding the stack.
Provider
Who performs, license, supervisor, after-hours owner.
Educational model limits — confirm shelf prices and primary sources.
Micro-guide
Decision frameworks and literacy prompts surfaced from the guide library.
Reassessment tracker
Date + notes + measures
Log post-consult answers, delayed cost quotes, and when you will re-read the receipt before booking.
Quick templates
No reassessment notes yet. Suggest reassess in ~14 days. Use a template to seed a structured check.
Compare
Compare saved receipts
Save at least two sessions to compare side by side.
Local session history
Consultation sessions
Stored only in this browser. Export JSON for a portable backup you control.
No saved sessions yet. Use Save session or ⌘/Ctrl+S.
VANITY OR VICE | CONSULTATION RECEIPT v2
• Template: ha_filler
• Readiness: 55/100 — Thin record — slow the decision
• Gaps: Consent status; After-hours complications owner; Literal outcome claim; Magnitude / limits honesty; Evidence / verification source; Escalation / warning signs; Contraindications discussed; Downtime range; Decision reason; Reassessment date/note; Session / series count; Maintenance plan named; Unresolved items listed
• Educational record only. Not diagnosis, endorsement, or care substitute.
COST BALLPARK (EDUCATIONAL)
• Educational ballpark for HA filler: ~$600–$2500 per session (not a quote).
• Logged treat cost ($900) sits inside a plausible educational range for this template.
• Three-session illustration at this treat line: ~$2700 before add-ons — replace with your written series total.
• Duration varies; touch-ups often discussed in months, not forever.
• Per-syringe vs per-area pricing changes the receipt — write which.
• Hyaluronidase availability is a safety line, not a cost line — still ask.
PROVIDER QUESTION PACK (CRITICAL)
• Exact HA product name, and is lot tracking used?
• Who injects, license/role, and who owns after-hours complications?
• Is hyaluronidase on site, and who is trained to use it?
• What are serious risks in plain language (vascular, vision)?
• What is the full cash number today including tax, facility, and touch-up policy?
MICRO-GUIDES
• One new leave-on at a time: If two bottles change at once, you cannot attribute irritation or progress.
• · Pick the single highest-priority active for this job.
• · Hold everything else constant for the playbook’s reassess window.
• Written receipt before deposit: Elective cash without identity, risks, and after-hours owner is incomplete literacy.
• · Name exact product/device and who performs it.
• · Write serious risks and escalation path in your words.
1. INTERVENTION
• Service: Hyaluronic acid filler
• Product/device/drug: Brand not confirmed in room
• Area: Midface
• Framing: elective volume
2. PROVIDER
• Performer: Nurse injector
• License/role: RN — supervisor MD on site (claimed)
• Supervisor: —
• Consent: —
• Complications owner: —
3. OUTCOME
• Claim: —
• Magnitude: —
• Timing: —
• Limits: —
• Evidence: —
4. RISKS
• Short: swelling, bruising, asymmetry
• Serious: vascular occlusion, vision loss (rare)
• Contra: —
• Downtime: —
• Warnings: —
5. COST & MAINTENANCE
• Sessions: — · Maintenance: —
• Total: $1,050.00
• Breakdown: consult $150.00, treat $900.00, add-ons $0.00, meds $0.00, follow-up $0.00, maint $0.00, travel $0.00
6. UNRESOLVED + DECISION
• Unresolved: —
• Questions: Exact HA product and lot tracking? Who owns after-hours complications? Is hyaluronidase on site? Per-syringe vs per-area pricing? Touch-up window and cost?
• Decision: Pause — need product identity ·
REASSESSMENT
• No reassessment notes yet.
RANKED NEXT ACTIONS
• 1. [critical] Fill: After-hours complications owner
• 2. [critical] Fill: Escalation / warning signs
• 3. [critical] Fill: Session / series count
• 4. [medium] Fill: Consent status
• 5. [high] Fill: Literal outcome claim
• 6. [medium] Fill: Magnitude / limits honesty
• 7. [medium] Fill: Evidence / verification source
• 8. [medium] Fill: Contraindications discussed
• 9. [low] Cost vs educational ballpark
• 10. [high] Template safety prompt: Pregnancy / breastfeeding ask
Vanity or Vice · Consultation Receipt v2
Hyaluronic acid filler
Readiness: 55/100 — Thin record — slow the decision · Total course: $1,050.00
Educational decision record only. Not a diagnosis, treatment recommendation, provider endorsement, or safety guarantee. Sensitive data stays local.
Exact HA product and lot tracking? Who owns after-hours complications? Is hyaluronidase on site? Per-syringe vs per-area pricing? Touch-up window and cost?
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 55/100 — Thin record — slow the decision
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 55/100 — Thin record — slow the decision
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 55/100 — Thin record — slow the decision
Fill: Consent status — Open gap: Consent status (weight 5). → Partial records create false confidence at the payment desk. Next: Complete consent status or document why it is unknowable today. Why: Readiness completeness rules Note: Score 55/100
Fill: Literal outcome claim — Open gap: Literal outcome claim (weight 7). → Partial records create false confidence at the payment desk. Next: Complete literal outcome claim or document why it is unknowable today. Why: Readiness completeness rules Note: Score 55/100
Fill: Magnitude / limits honesty — Open gap: Magnitude / limits honesty (weight 4). → Partial records create false confidence at the payment desk. Next: Complete magnitude / limits honesty or document why it is unknowable today. Why: Readiness completeness rules Note: Score 55/100
Fill: Evidence / verification source — Open gap: Evidence / verification source (weight 6). → Partial records create false confidence at the payment desk. Next: Complete evidence / verification source or document why it is unknowable today. Why: Readiness completeness rules Note: Score 55/100
Fill: Contraindications discussed — Open gap: Contraindications discussed (weight 5). → Partial records create false confidence at the payment desk. Next: Complete contraindications discussed or document why it is unknowable today. Why: Readiness completeness rules Note: Score 55/100
Cost vs educational ballpark — Educational ballpark for HA filler: ~$600–$2500 per session (not a quote). → Logged treat cost ($900) sits inside a plausible educational range for this template. Next: Confirm inclusions (area, anesthesia, kits, touch-ups) in writing. Why: cost-ranges educational ballpark Alt: Three-session illustration at this treat line: ~$2700 before add-ons — replace with your written series total.
Template safety prompt: Pregnancy / breastfeeding ask — Pregnancy or breastfeeding status — confirm every active and procedure with a qualified clinician before use. → This modality class has known educational stop/ask items still unchecked in the record. Next: Copy into contraindications, unresolved, or questions; resolve before deposit. Why: Educational tolerance prompt — not medical advice