Virtual Consultation Form

Virtual Consultation.

For your convenience we are now offering virtual consultations. Just complete this form and we will get back to you within 48 business hours.
Name

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E-mail
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Phone Number
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Date of Birth

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Date
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INSTRUCTIONS FOR VIRTUAL CONSULTATION
For Esthetic Concerns please take a front on photo with a relaxed face (no smiles or frowns) a 3/4 view and a profile is helpful as well.

For Tattoo Removal please include both vertical and horizontal measurements of your tattoo so that we may be able to accuratley determine size.

Please complete the comments portion with your areas of concerns listed in the order of priority. We will review your case and get back to you within 48 business hours.
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Virtual Consultation.