New Client Injectable Pre-Consultation

New Client Injectable Pre-Consultation

Thank you so much for reaching out to us! We offer an initial virtual consultation for just $25, which allows us to learn more about you, your goals, and your lifestyle so we can create a personalized plan. This small fee helps us dedicate the time and expertise to give you an honest estimate and price before you even step into the clinic. Our goal is to make your in-person visit smooth, intentional, and tailored completely to you.
New Patient Information
Full Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Email Address*
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Phone Number*
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Morgan Frankel, Nurse InjectorDr. Shyanie Kumar, MDI don’t have a preference
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By submitting this form, I voluntarily authorize Skin! Medical Aesthetics and its affiliated providers, employees, and authorized representatives to collect, store, and process the information I provide, which may include personally identifiable information and health-related information. I understand that my responses may be transmitted electronically and stored within secure internal systems, including encrypted cloud-based platforms such as Google Drive or similar technologies used for administrative and care coordination purposes.I acknowledge that authorized personnel, including patient coordinators and clinical staff, may access this information solely for legitimate business and healthcare operations, including appointment scheduling, consultation preparation, follow-up communication, treatment planning, and administrative tracking.I understand that while Skin! Medical Aesthetics implements reasonable administrative, technical, and physical safeguards consistent with applicable privacy and HIPAA standards to protect the confidentiality of my information, electronic transmission and cloud-based storage systems may carry inherent risks and absolute security cannot be guaranteed.By submitting this form, I expressly consent to the collection, storage, internal sharing, and use of my information for the purposes described above and authorize Skin! Medical Aesthetics to contact me via phone, text message, or email regarding scheduling, consultations, and services.*

I have read and agree to the Authorization for Collection, Storage, and Internal Use of Information.

Why Choose Skin! Medical Aesthetics

Our Mission:
Here at Skin! our goal is to maintain your natural aesthetic, educate you on skin care treatments, the science behind them, and how they can benefit you. We know that starting cosmetic treatments is scary and daunting. We want to make this process easy and comfortable.

Our number 1 priority is skin health. We improve skin tone, texture, and quality by creating personalized treatment plans. If your plan includes injectables, we take a seamless, blended, minimalistic approach to injectables. We want you to look like yourself but brighter, more refreshed, and balanced.

Why a Comprehensive Approach Matters
We don’t just treat one spot, we look at your whole face, neck, and other areas you care about. This gives you the best, most natural results.

As we age, skin changes from hormones, sun, environment, and even weight shifts. Fat pads shrink, bone structure softens, and skin can look dull, tired, or uneven. That’s why a plan (not one-off treatments) is key to real, lasting change.

Our Approach
We usually design treatments in phases:
- Skin Prep – Build a healthy foundation.
- Restore Volume – Bring back youthful contours.
- Maintain – Keep your results long term.
Not everyone needs all three phases. We follow this general framework to build comprehensive plans.

Why We’re Different
The aesthetics world is crowded with treatments and products. We cut through the noise by creating a plan just for you, not a generic menu. Think of it as a roadmap for your skin over the next 10–20 years.

Your Choice
Once you have your plan, you choose what fits your goals, comfort, and budget. Nothing is ever forced, we’re here to guide you and empower you with the knowledge to make the best decisions for you. The goal? For people to look at you after treatment and wonder if you’re simply sleeping better or using a new skincare routine.

Our Pricing Structure

Treatments

Skin treatments are priced either individually or in packages. Once you submit your inquiry, you'll receive an email that includes our full pricing structure.

Membership

We also offer a Skin! Membership. This is $300 per month, with a 6 month minimum commitment. Members can either use the $300 membership credit towards a select treatment or bank the monthly credit to use towards other services or buy retail products with a 12% discount.

Membership perks:

Choose one included treatment each month: Skinpen Microneedle, Aerolase Neo Laser, VI Peel, or TCA peel.
12% off ALL other treatments
$1 off per unit of neurotoxin
One complimentary Aerolase Era Ablative Laser per year ($1600 value)
Additional savings on select seasonal sales

Neurotoxin

Letybo $10/unit
Xeomin $12/unit
Dysport $14/unit
Daxxify $16/unit

Biostimulators

Sculptra $850/vial (10% discount if purchasing 3+ vials)
Radiesse $850/syringe (10% discount if purchasing 3+ syringes)
EZ Gel PRF $1900 for series of 3, maintenance treatment $650/treatment

Dermal Filler

Priced by area, not by syringe.

Area of Treatment	Price	Additional sessions
Forehead	$800
Temples	$1600
Under Eyes	$800
Mid-Cheek	$800
Lateral Cheek	$800
Nose	$1800
Nasolabial Folds	$800
Upper Lip Lines	$800
Lip	$800	Typically 2 sessions
Marionette Lines	$800
Chin	$800
Jawline	$2800/session	2-4 sessions depending on bone structure
Skin Hydration	$800
Fine Line Correction	$800
Neck Line Correction	$800

We review all virtual submissions and respond within 7-10 business days. We are experiencing longer wait times due to increased consult request volume! We are working hard to get these responses out as quickly as possible! You will receive your pre-consult assessment link via email. You can always text us at 720-227-1277 with questions!

XOXO ❤️ Skin!

Virtual Consult Fee*

Virtual consultation

$25.00 Quantity

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Total

$0.00

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New Client Injectable Pre-Consultation

New Patient Information

Why Choose Skin! Medical Aesthetics

Virtual Pre-Consultation

Virtual Photo Assessment

We need your photos to assess your facial anatomy and determine if you're a candidate for dermal filler treatment. Please follow the guidelines below and submit your photos.