Request Free Quotes

Request Free Quotes

Glamjet helps you arrange your beauty and medical holidays with ease. Goodbye to countless hours researching Reddit, Facebook groups, Google for the best providers to find yourself with more anxiety. We help you connect with vetted specialists who are leaders in their field, get you quotes, negotiate prices, plan your holiday for you, and even "hold" your hands at clinics if required. To receive a quote for Glamjet packages, please complete the assessment form and upload photos. Our consultant will reach out to arrange a video consultation after we receive an assessment from our doctors, surgeons, or dentists. We aim answer your enquiry within 24-48 business hours. Let's make your transformation happens. Completing this form takes less time than your morning coffee ☕ . It will save you thousands and hundred of hours.
Full Name*

First NameLast Name
Birthday*

MonthDayYear
Date
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? *
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. Please let us know your budget so we can connect you to the most suitable providers.
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.
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 medication allergies?*

YesNoNot Sure
Please list them.
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, assessment photos & X-rays for dental, or blood test for health check and medical treatments:

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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