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. ———————————————————- 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
Name*

First NameLast Name
What is your Instagram name? *
What is your Facebook profile name? *
Cell phone number that can receive texts*
Please enter a valid phone number.
Email*
example@example.com
Surgery Type*
Doctor AND clinic *
Daily budget for recovery home *
What is the name of the package or sale you’re interested in? *
Pre op day *

MonthDayYear
Date
Surgery date*

MonthDayYear
Date
What is your check in date? PLEASE PROOF READ FOR ACCURACY B/C everyone keeps putting the wrong dates! *

MonthDayYear
Date
What is your check out date? PLEASE PROOF READ FOR ACCURACY B/C everyone keeps putting the wrong dates! *

MonthDayYear
Date
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 allergies?*

EnvironmentalFoodAnimalOther
List allergies and food restrictions*
What payment method do you intend to use?

Credit/Debit cardHSA/FSACashApp/CashApp PayApplePayAfterPayBank 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. *
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. *
Would you like to add Post Op IV with iron? (Helps with pain, raising hemo, replenish vital nutrients, minerals and vitamins lost during surgery.) *
I agree that I’m submitting this inquiry for care and I will have the courtesy of responding when the company reaches out about my inquiry?*

YesNo
Should be Empty: