The client seen in these photos was referred by a podiatrist with written permission and a directive concerning receiving a prosthetic nail. The directive/permission is kept on file and each visit is documented in detail.  If there are changes from normal in the client's skin/nails the client is referred back to the physician and the changes are communicated in a call or fax.

Cosmetic nails without former pathologies do not require permission from a podiatrist/physician.

All formerly pathologic nails require a referral from a podiatrist or physician with written permission and a directive concerning the receipt of a prosthetic nail. The existing nail must be stated as non-pathogenic by the referring podiatrist/physician to receive the nail. A 'before' picture is taken and kept on file with referrals/directives from the referring physician/podiatrist with documentation in detail of visits. With any change from normal in the client's skin and/or nails the client is referred back to and a call is made to the podiatrist/physician by the MNT concerning the visual changes.