For quotes & availability:

For quotes & availability:

Hi future Barbie! Hi future Ken! —————————————————. 🚨PLEASE PROOFREAD YOUR ANSWERS🚨 I CAN care for dolls with private insurance via the marketplace place, employer and UNINSURED dolls. Companion stays have been suspended. My apologies. ———————————————————- I’ve received your message, call or text & appreciate you reaching out. Please answer the following and I'll respond during traditional business hours. I look forward to speaking with you soon! I will respond back shortly after receiving the below requested details of your surgery. Please have the courtesy to respond to follow ups or inform of services no longer needed, as I will always respond to you. At the end of the questionnaire you have to REVIEW your answers for accuracy and then you can scroll down and hit SUBMIT! Thank you. ~Barbie
LEGAL name*

First NameLast Name
Cell phone number that can receive texts*
Please enter a valid phone number.
Email*
example@example.com
Daily budget for recovery home *
Surgery Type*
Doctor *
What clinic*
What is your pre op date? MM/DD/YYYY*
PLEASE PROOFREAD FOR ACCURACY!!! Getting so many forms with typos and mistakes.
What is your surgery date MM/DD/YYYY*
PLEASE PROOFREAD FOR ACCURACY!!! Getting so many forms with typos and mistakes.
What is the name of the package or sale you’re interested in? *
What date did you want to check in the recovery home? MM/DD/YYYY (day before surgery check in is mandatory)*
PLEASE PROOFREAD FOR ACCURACY!!! Getting so many forms with typos and mistakes.
What is the date you will be checking out of the recovery home? MM/DD/YYYY*
PLEASE PROOFREAD FOR ACCURACY!!! Getting so many forms with typos and mistakes.
Any companions accompanying you? (Friend or family NOT someone else getting surgery)*
Companion is:(again, only if you’re BRINGING a friend, family, spouse). If not please check N/A*

MaleFemaleN/A
Did anyone refer you or how did you hear about my services? *
Is this your first elective surgery? If not what surgeries have you had? *
Have you had weight loss surgery. If so when? *
What kind of health insurance do you have?*

Private insuranceUninsured
File Upload upon request only. If no request for documentation please skip this question

Cancelof
Have you tested positive for HIV or any other communicable diseases? If so, please disclosed what so we can take proper precautions during your care. *
Any dietary accommodations you need during your stay? (**these items incur an additional cost)*

**Gluten Free**Pescatarian**Vegan**Vegetarian**Sugar FreeDairy free (lactose intolerant only)**Dairy ALLERGY (all ingredients need to be checked in all food items)No accommodations needed/regular diet okay
Any allergies?*

EnvironmentalFoodAnimalNoneOther
List allergies and food restrictions and PLEASE EXPLAIN the severity of your allergy. What happens to you when having a reaction?*
Do you have any past history personally or genetically that may be of concern considering most surgery centers are high volume clinics that deal in low risk patients (anemic, heart disease, past heart attack, blood clots, asthma, sleep apnea, recent medical procedures, past surgical complications etc) *
Do you have any blood disorders? (Anemic, sickle cell trait, sickle cell disease, thalassemia, thalassemia beta trait, etc) *
What payment method do you intend to use?

Credit/Debit cardMoneygramWestern UnionApplePayAfterPayAffirmBank to Bank transfer
A description services you would be looking for, the actual date or dates & I'll respond with the proper recommendation/ quote for described. Check out my Instagram and website & ask any questions you may have. *
What is you current BMI*
Do you know your surgeons BMI limit? If so what is it? *
What is your height AND weight? Please answer both part of the question. *
Would you like to add Post Op IV with iron? (Helps with pain, raising hemo, replenish vital nutrients, minerals and vitamins lost during surgery.) *
What is your Facebook profile name? *
What is your Instagram name? *
For the “Name Your Price” deal please list what services you want and a total price (before tax and processing). If accepted I will respond back accepted and please be payment ready. If declined I will send the it’s declined with current now sales and packages. Please be reasonable and keep in mind my lowest package starts at $275/night and doesn’t include massages. NOTHING BELOW $300/night will be considered at all.
I agree that I’m submitting this inquiry for care and I will have the courtesy and RESPECT of responding when the company reaches out about my inquiry?*

YesNo
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