BIO Medspa Model Call

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Your Birthdate:* This field is required.
Date
Year
Month
Day
4
Phone Number* This field is required.
Area Code
Phone Number
5
What is your primary motivation for wanting to get filler?* This field is required.Ex. To add volume, improve jowls, anti aging, smooth out lines, improve hip dips, just bc I feel like it, etc.
6
Do you have an upcoming event or occasion?* This field is required.
Yes within the next 3 months
Yes within the next 6 months
No
7
Have you ever had filler treatments?* This field is required.
YESNO
8
If yes, how many times?
Just once
2-5 times
5 or more
9
If you’ve had filler, when was your last filler treatment?Include month and year
10
Take a front facing photo* This field is required.Stand in front of a window during the day with natural lighting. Do not use filters. Do not wear makeup for this photo. Do not make any facial expressions.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
11
Take a side profile photo* This field is required.Stand in front of a window during the day with natural lighting. NO FILTERS. NO MAKEUP. NO FACIAL EXPRESSIONS.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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12
If interested in a BBL you must upload 3 photos in underwearFront view (to assess hip dips)
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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13
If interested in a BBL you must upload 3 photos in underwearSide view
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
14
If interested in a BBL you must upload 3 photos in underwearBack view
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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