Virtual Consultation

EFFECTIVE IMMEDIATELY

We are taking every precaution to ensure our clients’ safety and well-being.

We are offering $50 virtual consultations until further notice and will only be available in office to current patients with urgent needs. Please fill out the form below to schedule.

Thank you for your support and we look forward to seeing and assisting you.


  • Procedure of Interest


  • Photos

    Take at least 1 photo of each area and attach the photos below.

    • Only take selfies for face procedures
    • Have someone else take the photo or use a mirror for breast or body procedures
    • For face procedures, only include a picture of your face
    • For body or breast procedures, you do not need to include your face
  • Facing Front

    Drop files here or
    Accepted file types: jpg, png, tiff, bitmap, jpeg.
  • Facing Slight LeftFacing Slight Right

    Drop files here or
    Accepted file types: jpg, png, tiff, bitmap, jpeg.
  • Facing LeftFacing Right

    Drop files here or
    Accepted file types: jpg, png, tiff, bitmap, jpeg.
  • Communications through our website or via email are not encrypted and are not necessarily secure. Use of the internet or email to communicate with Center for Cosmetic and Lazer Surgery is for your convenience only, and by using them, you assume the risk of unauthorized use. By checking this box you hereby agree to hold Center for Cosmetic and Lazer Surgery, its doctors, affiliates and vendors, harmless from any hacking or any other unauthorized use of your personal information by outside parties.