Request Free Quotes

Request Free Quotes

Glamjet help you arrange your beauty, dental, and wellness holidays with ease. Goodbye to countless hours researching different platforms for the best providers to find yourself with more anxiety. We help you connect with vetted specialists and arrange a curated and personalised holiday for you. Please complete the assessment form and upload photos (takes less time than your morning coffee ☕). Our consultant will reach out to arrange a confidential consultation after we receive an assessment from our specialists. We aim answer your enquiry within 24-48 business hours. Let's make your transformation happens.
Full Name*

First NameLast Name
Preferred pronoun

HeSheTheyNot listed
Gender identity for medical purpose

Male/menFemale/womenTransmale/TransmanTransfemale/TranswomenGenernonconfirmingDecline to answer
Birthday*

MonthDayYear
Date
Phone Number With Country Code*
Example: (+61)402555579
Contact Number

Country CodeArea CodePhone Number
Email Address*
info@glamjet.com.au
Address*

Street Address Line 1

CityState / Province

Postal / Zip CodeCountry
Type of treatment you are interested in *
What's your desired results? *
For patients seeking medical treatments, wellness, and stem cells treatments only
Please list primary condition you are seeking treatment for, date of diagnosis, describe all of the symptoms, dates of onset and any other pertinent information.
How soon are you looking to have the treatment?*

As soon as possibleNext 3 months3-6 months6-9 monthsOther
What's your budget? *
We work with 35 leading hospitals and clinics in South Korea, Vietnam, Thailand, and Japan. Please let us know your budget so we can connect you to the most suitable providers.
Which location do you prefer?

Hanoi, VietnamHo Chi Minh, VietnamDa Nang, VietnamBangkok, ThailandPhuket, ThailandSeoul, South KoreaOur partnered clinics in Australia only
How do you know about us?*
Which financing options do you prefer?*

SavingsCredit cardHelp me Access My Super early (For Australians/New Zealanders with super in Australia)Payment plans with Total Life Credit from A$30/weekSplit treatment costs over monthly amounts (Prepaid & No interest)You find a personal loan provider in your country and we'll assist with paperworkCombination of 2 methods
What are your cosmetic and medical surgery histories? *
Please list accurately for assessment by doctors and specialists for compliance.
What is your height?
in cm
What is your weight?
in kg
Please list all past surgeries
Procedures & dates. For patients seeking facial surgeries, please also list when you had HIFU, Thermage, fillers, botox, and thread lifts.
Have you ever been diagnosed with any form of cancer?

YesNo
Type of cancer
Status of cancer treatment
Has any member of your family had any of the following illnesses?

Breast cancerColon cancerOther cancerHeart DiseaseHigh Blood PressureDiabetes Type IDiabetes Type IILiver DiseaseDepressionPsychiatric IllnessOther(Please Specify)
Please specify family illness
When was your last Mammogram and what was the result?
When was your last medical check up?

MonthDayYear
Date
Results of your last medical check-up
Check the symptoms that you' re currently experiencing:*

Chest painRespiratoryCardiac diseaseCardiovascularHematologicalLymphaticNeurologicalPsychiatricGastrointestinalGenitourinaryWeight gainWeight lossMusculoskeletalAsthmaCancerDiabetes Type 2OA kneeOther
Are you currently taking any medication?*

YesNo
What medications and vitamin supplements that you are taking? *
Do you have any allergies and adverse drug reactions?*

YesNoNot Sure
Please list them.
Do you currently smoke or chew tobacco?

YesNo
If yes, how many packs per day/week/month?
Do you currently drink alchohol, beer or wine?

YesNo
If yes, how often you drink

one standard drink/daydrink socially two-three standard drinks/daydrink regularly
Do you have dental X-rays taken in the past 6 months?

Yes. I have on fileYes. My dentist in Australia has it but I don't have on fileNo
Please upload your assessment photos for plastic surgery. For smile makeover, please attach assessment photos & dental X-rays. For wellness and medical treatments, please attach recent blood tests or doctors' notes (if you have).*

Please view our plastic surgery assessment photo guide here: https://glamjet.com.au/pages/how-to-take-assessment-photos-for-cosmetic-surgeries
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By completing this form means you have read and understand Glamjet’s Privacy Policy and Terms and Cancellation Policy. Please verify that you are human*
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--BEAUTY--
Hair Transplant (FUT & FUE)
Facial Feminisation Surgery (Customised)
Eye Surgery (Lower & Upper Blepharoplasty, Double Eye Lid, Epicanthoplasty/Lateral Canthoplasty)
Rhinoplasty (Bridge Augmentation, Tip Plasty, Alarplasty, Ethnic Rhinoplasty, Revision Rhinoplasty)
Facial Contouring (Chin, Jaw, Vline, Zygoma, Face Lipo)
Facelift (Mini Facelift, SMAS Facelift, Deep Plane Facelift, Endotine Forehead Lift, Sub-brow Lift )
Facial Fat Graft
Neck Lift
Endotine Forehead Lift
Body Contouring (Tummy Tuck, Buttock Augmentation, Liposuction, Vaginal Reduction)
Breast Surgery (Men Breast Surgery/Lipo, Augmentation, Lift, Reduction, Revision)
Mummy Makeover Packages (Breast Surgery And Tummy Tuck)
Labiaplasty
--SKIN TREATMENTS--
Acne treatments
Lasers
Skin Needling
Botox & Fillers
Bio Stimulators
HIFU
Thermage
Threading (Non-surgical Facelift)
Half-day program 4-5 hours (5-8 treatments)
---DENTAL---
Dental Veneers (Composite Bonding, No Prep & Minimal Prep Veneers)
Dental Crowns (Porcelain Crowns, Ceramic Crowns, Emax and Zirconia Crowns)
Dental Bridge
Dental Implants (Single implants)
All-on-4 or all-on-6 implants
Dentures
Root Canal Treatment
Teeth Whitening With Laser
Complete Smile Makeover (All-on-4 implants)
Invisalign
Braces
Other Dental Treatments
--MEDICAL & WELLNESS--
LASEK/LASIK/SMILE Eye Surgery
NAD & vitamin drips
Chelation Therapy
Detox Programs
Plasma Therapy
Stem Cell For Injury
Stem Cell Therapy Longevity
Stem Cell Therapy For ED
Stem Cell Therapy For Other Conditions
Knee Replacement
Hip Replacement
VIP Health Check Up, MRI, cancer screenings
---OTHERS---
Others