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Patient Consultation Form

 

Kindly add your details and attach full facial (front and side) profile photos.​

Our doctors will review your photos and email you with personalized medical feedback on suitable treatment(s), procedure details, and cost, along with before and after images of similar treatments performed in our clinics.​

*Please check your junk/spam folders if you haven't heard from us in 48 hours*

Upload File
Upload File
Upload File
Upload File

**Please note any and all photos emailed to us are kept confidential and are only accessible by our doctors or clinic team. All photos and details are kept password protected and deleted after doctor has reviewed. All our treatment photos sent to clients via email are consented for use by clients who have signed a paper consent form in our clinics post procedures.** The minimum age for these procedures is 18 years old. 

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