Esthetic Equipment Evaluation

Equipment Identification and Information

Name of equipment:

Type of equipment:

Model number:

Price:

What is the manufacturers‘ Intended Use Statement’?

Company profile information:

Sales Contact Information:

Name:
Address:
City:     State:     Zip:
Tel:
Fax:
Email:
Website:

Length of time in business:

Distributor Contact Information:

Name:
Address:
City:     State:     Zip:
Tel:
Fax:
Email:
Website:

Length of time in business:

 

Registrations / Certifications

Is the manufacturer registered with the FDA?

If yes, what is the registration number?

Is the equipment registered with the FDA?

If yes, what is the registration number and class?

Safety Considerations and Equipment Specifications

What safety certifications does this equipment have (i.e. UL, CSA, CE)?

What kind of power source does the equipment require?

Does the manufacturer carry liability insurance on this equipment?

Is a certificate of insurance available?

Does the equipment have any cross-contamination safeguards, if applicable?

What are the contraindications for use of this equipment?

Warranty and Service Policies

What are the terms of the warranty?

Is there an extended warranty available?

Is there an additional cost?

Do you have an equipment loaner program?

Are references available?

Training and Education

What type of training is included with purchase?

Where?

Total hours?

Who are the educators?

Is there an additional cost?

Skin care professionals are required to check in their state as to whether training on the use of equipment is required prior to purchasing, and/or if they can use device under their scope of practice.