APPLICANT'S DETAILS Choice of Membership Upgrade(Required) SELECT ONE Full Membership Fellowship Fellowship Equivalence Initiative
PRIMARY CONTACT
The College uses the primary contact details for communication to applicants and members. Please make sure that the primary contact details are up to date.
IDENTITY DOCUMENTS Curriculum Vitae (CV)(Required) Please upload your Curriculum Vitae (CV).
Photographic copy of passport(Required) Please upload a photographic copy of passport.
Passport-quality head and shoulders photograph(Required) Please upload a passport-quality head and shoulders photograph of yourself.
APPLICANT'S EXTENSION DETAILS
APPLICANT'S INSURANCE DETAILS Do you give CPCA permission to check your insurance details, if required?(Required) Select Yes No
Certificate of Currency of medical insurance(Required) Please upload the current Certificate of Currency of medical insurance (including the category of procedures of cover, any loadings or restrictions and/or limitations)
MEDICAL REGISTRATION Any medical litigation, disciplinary action or investigation by Medical Boards? Select Yes No
AHPRA registration certificate(Required) Please upload a copy of AHPRA registration certificate.
UNIVERSITY OF GRADUATION Evidence of medical and surgical training, or if a student – Confirmation of University Enrolment
FURTHER TRAINING & EDUCATION
Please provide information of further training and education undertaken in the field of cosmetic medicine. If insufficient space, please upload extra page/s in place provided.Training/Education Certificates
MEMBERSHIPS & REFERENCES
Memberships Certification of memberships with other colleges, associations & societies, etc.
References
Please provide names and contact details of three (3) referees.
Written References Where contact details could not be provided.
Applicant's Declaration(Required)
01. Anti-aging treatments: hormones, vitamins 01. Anti-aging treatments: hormones, vitamins (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
01. Anti-aging treatments: hormones, vitamins Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
02. Botulinum toxin hyperhidrosis 02. Botulinum toxin hyperhidrosis (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
02. Botulinum toxin hyperhidrosis Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
03. Botulinum toxin cosmetic upper face 03. Botulinum toxin cosmetic upper face (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
03. Botulinum toxin cosmetic upper face Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
04. Botulinum toxin cosmetic lower face 04. Botulinum toxin cosmetic lower face (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
04. Botulinum toxin cosmetic lower face Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
05. Chemical peel - deep dermal 05. Chemical peel - deep dermal (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
05. Chemical peel - deep dermal score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
06. Chemical peel - medium depth 06. Chemical peel - medium depth (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
06. Chemical peel - medium depth Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
07. Chemical peel - superficial 07. Chemical peel - superficial (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
07. Chemical peel - superficial Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
08. Fat reduction with energy-based devices- heating and/or cooling based devices 08. Fat reduction with energy-based devices- heating and/or cooling based devices (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
08. Fat reduction with energy-based devices- heating and/or cooling based devices Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
09. Fat reduction - Lipo-dissolving treatments (Injection Lipolysis) 09. Fat reduction - Lipo-dissolving treatments (Injection Lipolysis) (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
09. Fat reduction - Lipo-dissolving treatments (Injection Lipolysis) Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
10. Fractional laser resurfacing ablative 10. Fractional laser resurfacing ablative (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
10. Fractional laser resurfacing ablative Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
11. Fractional laser resurfacing non-ablative 11. Fractional laser resurfacing non-ablative (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
11. Fractional laser resurfacing non-ablative Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
12. Laser/IPL treatment of vascular lesions 12. Laser/IPL treatment of vascular lesions (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
12. Laser/IPL treatment of vascular lesions Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
13. Laser/IPL treatment of pigmented lesions 13. Laser/IPL treatment of pigmented lesions (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
13. Laser/IPL treatment of pigmented lesions Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
14. Hair reduction (laser/IPL) 14. Hair reduction (laser/IPL) (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
14. Hair reduction (laser/IPL) Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
15. Ablative laser resurfacing (Erbium/CO2) 15. Ablative laser resurfacing (Erbium/CO2) (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
15. Ablative laser resurfacing (Erbium/CO2) Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
16. Laser tattoo removal 16. Laser tattoo removal (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
16. Laser tattoo removal Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
17. Skin rejuvenation (fractional RF) 17. Skin rejuvenation (fractional RF) (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
17. Skin rejuvenation (fractional RF) Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
18. Skin rejuvenation (laser/IPL) 18. Skin rejuvenation (laser/IPL) (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
18. Skin rejuvenation (laser/IPL) Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
19. Skin tightening - Monopolar RF (e.g. Thermage, Ultherapy & Titan) 19. Skin tightening - Monopolar RF (e.g. Thermage, Ultherapy & Titan) (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
19. Skin tightening - Monopolar RF (e.g. Thermage, Ultherapy & Titan) Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
20. Plasma skin rejuvenation (portrait) 20. Plasma skin rejuvenation (portrait) (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
20. Plasma skin rejuvenation (portrait) Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
21. Plasma pen devices e.g. Plexr, ACCOR treatments, e.g. for eyelid reduction 21. Plasma pen devices e.g. Plexr, ACCOR treatments, e.g. for eyelid reduction (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
21. Plasma pen devices e.g. Plexr, ACCOR treatments, e.g. for eyelid reduction Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
22. HA based fillers - augmentation of folds, e.g. NL's 22. HA based fillers - augmentation of folds, e.g. NL's (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
22. HA based fillers - augmentation of folds, e.g. NL's Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
23. HA based fillers - wrinkles and lines 23. HA based fillers - wrinkles and lines (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
23. HA based fillers - wrinkles and lines Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
24. HA based fillers - fine contouring, e.g. around and under the eyes 24. HA based fillers - fine contouring, e.g. around and under the eyes (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
24. HA based fillers - fine contouring, e.g. around and under the eyes Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
25. HA based fillers - deep volume filling 25. HA based fillers - deep volume filling (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
25. HA based fillers - deep volume filling Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
26. HA based fillers - Use outside the face 26. HA based fillers - Use outside the face (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
26. HA based fillers - Use outside the face Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
27. HA based fillers - skin hydration 27. HA based fillers - skin hydration (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
27. HA based fillers - skin hydration Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
28. Biostimulating injections (e.g. Radiesse, Ellanse & Sculptra) 28. Biostimulating injections (e.g. Radiesse, Ellanse & Sculptra) (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
28. Biostimulating injections (e.g. Radiesse, Ellanse & Sculptra) Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
29. Permanent fillers (e.g. Aquamid) 29. Permanent fillers (e.g. Aquamid) (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
29. Permanent fillers (e.g. Aquamid) Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
30. Rhinoplasty - non-surgical 30. Rhinoplasty - non-surgical (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
30. Rhinoplasty - non-surgical Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
31. Mesotherapy 31. Mesotherapy (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
31. Mesotherapy Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
32. Microdermabrasion 32. Microdermabrasion (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
32. Microdermabrasion Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
33. Micro-Sclerotherapy 33. Micro-Sclerotherapy (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
33. Micro-Sclerotherapy Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
34. Minor excisions and skin biopsies 34. Minor excisions and skin biopsies (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
34. Minor excisions and skin biopsies Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
35. Use of energy-based devices for treatment/removal of raised lesions such as moles 35. Use of energy-based devices for treatment/removal of raised lesions such as moles (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
35. Use of energy-based devices for treatment/removal of raised lesions such as moles Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
36. Photodynamic Therapy - Acne 36. Photodynamic Therapy - Acne (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
36. Photodynamic Therapy - Acne Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
37. Photodynamic therapy - solar damage/field cancerisation 37. Photodynamic therapy - solar damage/field cancerisation (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
37. Photodynamic therapy - solar damage/field cancerisation Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
38. Phototherapy using red or blue non-coherent light for acne, anti-inflammation 38. Phototherapy using red or blue non-coherent light for acne, anti-inflammation (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
38. Phototherapy using red or blue non-coherent light for acne, anti-inflammation Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
39. Skin needling (Roll CIT/Dermapen) 39. Skin needling (Roll CIT/Dermapen) (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
39. Skin needling (Roll CIT/Dermapen) Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
40. Platelet rich plasma treatments 40. Platelet rich plasma treatments (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
40. Platelet rich plasma treatments Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
41. Small volume fat transfer to face 41. Small volume fat transfer to face (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
41. Small volume fat transfer to face Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
42. Thread lifting under LA 42. Thread lifting under LA (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
42. Thread lifting under LA Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
Other procedure achieved and performed - #43 (Description)
43. Other procedure achieved and performed (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
43. Other procedure achieved and performed Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
Other procedure achieved and performed - #44 (Description)
44. Other procedure achieved and performed (Frequency) CURRENT Frequency of Performance
Select A. Often B. Occasionally C. Seldom D. Not in Recent Months
44. Other procedure achieved and performed Score Your Skill and Degree of Competency
Select 0 = I have never performed this procedure 1 = I have done a few, but I am still feeling my way 2 3 4 5 = I have done several, and my technique is improving 6 7 8 = I am completely competent and confident in managing complications 9 10 = I am a recognised expert in the industry with at least three years of experience and other colleagues seek my advice on performing this treatment
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