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Acne Treatment Progress Tracking Chart

Monitor Your Acne Treatment Journey

Dermatology

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Template Content

Last updated: Mar 24, 2025

Patient Information

Name: _________________________ Start Date: ____________________ Treatment Plan: ________________

Severity Scale

0 - Clear skin 1 - Few minor blemishes 2 - Mild acne 3 - Moderate acne 4 - Severe acne 5 - Very severe acne

Weekly Progress Tracker

Week 1-4

Date Severity (0-5) New Lesions Side Effects Notes
Week 1
Week 2
Week 3
Week 4

Treatment Adherence

  • Morning routine followed: □ Yes □ No
  • Evening routine followed: □ Yes □ No
  • Medications taken as prescribed: □ Yes □ No

Skin Changes to Monitor

  • Inflammation level: □ Better □ Same □ Worse
  • Oiliness: □ Better □ Same □ Worse
  • Scarring: □ Better □ Same □ Worse
  • Post-inflammatory hyperpigmentation: □ Better □ Same □ Worse

Photos

Attach photos taken at the same time of day, in the same lighting:

  • Initial photo date: ___________
  • Week 2 photo date: ___________
  • Week 4 photo date: ___________

Next Appointment

Date: _________________________ Time: _________________________

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