Standards of Practice


For the purposes of this statement the term ‘practitioner’ will be used as different countries have different medical/health care and esthetic/beauty therapy professionals providing skin and body care services.

  •         The term ‘practitioner’ for an esthetician is used interchangeably with: beautician; beauty therapist; skin care specialist; skin care therapist, aesthetician, esthetician, somatologist, dermal therapist.

For the purposes of this document the term ‘client’ will be used as this applies mainly to the spa industry and services provided within.

  •         The term ‘client’ is used interchangeably with patient – all depending on environment where the Esthetician or Allied Professional works.


Individuals diagnosed with cancer can face a multitude of physical, emotional, mental, and spiritual challenges. These challenges often begin in the pre-diagnosis stage and can continue during treatment and into recovery, and sometimes for the rest of the person’s life.

Scope of Oncology Esthetics Practice

Oncology Esthetics can provide positive benefits to a person with cancer physically, emotionally and mentally, and can also provide benefits not available from current treatment. The mission of the International Society for Oncology Esthetics is to provide information, guidelines, and standards and resources to cancer clients, caregivers, estheticians, skincare therapists, medical professionals and the public.

Recognizing that education, modalities and philosophies vary, ISFOE has established these Standards of Care to promote safe, responsible, ethical and appropriate application of oncology esthetics/skin care services for those diagnosed with cancer.

These Standards are for the conduct of approved providers of the ISFOE. By upholding these standards, approved providers can demonstrate a commitment to competent, responsible and professional care.

The Standards of Care also provide medical professionals and the general public with an understanding of the roles, responsibilities and principles that Practitioners adhere to as Approved Providers of the ISFOE.

These Standards of Care apply to all clients diagnosed with cancer, at any time in their lives.

Standards of Care

  1. Confidentiality
  2. Protection of confidentiality. The Practitioner is responsible for knowing and following their relevant country’s mandates and any local, provincial, territory, or state regulations regarding client confidentiality.
  3. Storage of records. The Practitioner shall store all records securely to maintain client confidentiality.
  4. Disposal of records. The Practitioner shall destroy unneeded records securely to maintain client confidentiality.
  5. Legal, Licensing or Certification and Insurance
  6. Laws and requirements. The Practitioner shall comply with applicable local, provincial, territory, or state and federal laws, regulations and ordinances with regards to:
  •         Your business
  •         Your chosen profession
  1. Discrimination. The Practitioner shall not discriminate with respect to race, color, creed, sexual orientation, or religious preference, or other factor prohibited by law.
  2. Accurate records. Consistent with state and local law, the Practitioner shall maintain accurate records reflecting the client’s ongoing progress.
  3. Insurance: The Practitioner shall have current professional liability insurance for all services offered.
  4. Safety
  5. Education

The Practitioner shall have completed a foundation course of study that meets the minimum requirements of the ISFOE, including:

  1. The Disease. The general nature of cancer and its impact on the body, mind and spirit.
  2. Challenges of the Disease.The risk and challenges posed by the disease and its complications and any modifications that are necessary.

iii. Cancer Treatment(s). Various treatment(s) for cancer and the impact on the body, mind and spirit.

  1. Challenges of the Treatment(s). The risks and challenges posed by the various treatments and any modifications that are necessary.
  2. Prevention. Wherever possible to encourage client to make positive changes to lifestyle, diet and other cancer risks.
  3. Scope of work. The Practitioner shall not provide work outside of their education, knowledge and experience.
  4. Right of refusal. The Practitioner shall decline to use any technique that is determined to be detrimental to either the client or the practitioner.
  5. Consultation. If the Practitioner encounters an unfamiliar condition that cannot be adequately evaluated through research, the Practitioner shall consult with a knowledgeable healthcare professional to determine the best course of action.
  6. Medical referral. The Practitioner shall refer the client to a healthcare professional if the Practitioner is concerned that the client has a condition requiring medical diagnosis or treatment.
  7. Diagnosis. The Practitioner shall not diagnose or attempt to treat any medical condition.
  8. Client health history condition. In order to accurately ascertain the client’s health and to provide the safest care, the Practitioner is responsible for inquiring about the conditions that determine adaptations to any esthetic or body care treatment.
  9. Safe environment. The Practitioner shall provide a safe and clean environment for any skin and bodycare treatment. Specific care will be given to accessibility, safety, sanitation, disinfection control and comfort. Equipment and supplies will be clean and sanitary. All products are to be evaluated for potential reactions or complications.
  10. Client wishes. The Practitioner shall respect the client’s wishes to limit or stop the esthetic or body care treatment.
  11. Client intake form. In order to adequately track progress and to provide a more complete assessment of the client’s ongoing condition, the Practitioner shall keep a medical intake form with progress notes on the client for each visit.
  12. Ethics.
  13. Commitment to work. The Practitioner shall be fully engaged during the session, avoiding distractions that diminish the skin or body care treatment or suggest that less than full attention is being paid to the client.
  14. Practitioner influence. The Practitioner shall not negatively influence the client by a suggestion or recommendation that is outside of the Practitioner’s scope of practice. Any negative influence in redirecting the client course of medical care, exploiting the client personal gain or entering into a personal relationship is not permitted.
  15. Draping/cover up during treatment(s). The Practitioner will utilize practices that do not expose areas of the client’s body unnecessarily irrespective of the treatment being provided. The Practitioner will also respect the client’s desires for specific areas, if any, to remain clothed or covered (draped).
  16. Areas worked/treatment provided to. Prior to the session, the Practitioner shall discuss with the client areas of the body to be massaged and shall proceed only after clear consent is received.
  17. Consent to skin or body care treatment plan. Prior to the session, the Practitioner will discuss with the client the proposed skin or body care treatment(s) and the method(s) to be used and shall proceed only once the client’s consent is received.
  18. Boundaries. The Practitioner shall avoid entering into any relationship outside of the practitioner- client relationship that may impair the judgment of the Practitioner or the client.
  19. Professionalism.
  20. Focus: The Practitioner will ensure the focus remains on the client and their comfort and safety.
  21. Appearance. The Practitioner shall maintain a professional appearance when interacting with client’s and/or medical professionals. Cleanliness, grooming, and attire shall be appropriate for skin or body care treatments and shall comply with the standards of the facility in which the Practitioner is working.
  22. Conduct. To cultivate mutual respect, the Practitioner shall be courteous and professional when dealing with the client and healthcare professionals. The Practitioner shall respect and support fellow Practitioner’s where possible. Any inappropriate slander will result in instant removal from ISFOE.
  23. Professional courtesy. The Practitioner shall respect the qualifications and abilities of other healthcare professionals. With the client’s prior approval, the Practitioner shall share information with the client care team to provide the best interest of the client.