Client Intake & Meeting Scheduling

Client Intake & Meeting Scheduling

Please provide your details and choose a time for your initial Zoom meeting.
ON:JEONG

We put your heart first. On:Jeong is more than an agency; we are your advocates. Our founder, Hyungwon Kim, built this company after years in the field, witnessing firsthand the courage it takes to seek healing in a foreign land. He has sat with countless patients, listened to their stories, and realized that what you need most isn’t just a medical connection—it’s a family. We know the weight of the fear that keeps you awake at night. We understand the shock and the tears that can come when facing the unfamiliar after surgery. That is why we created “On:Jeong Care Service”—a service rooted in the Korean spirit of Jeong. It is our commitment to caring for your soul as much as your body. Our promise is simple: to stand by your side and ensure that your journey is defined by support, peace, and healing, leaving no room for fear.
Full Name*

First NameLast Name
Current Age? *
WhatsApp Number*

Country CodeArea CodePhone Number
Email address (in case we cannot reach you via WhatsApp)*
example@example.com
Double Eyelid Surgery (Blepharoplasty)Lower BlephUpper BlephRhinoplasty (Nose Surgery)Epicanthoplasty (Inner Corner Eye Surgery)Ptosis Correction (Droopy Eyelid Surgery)FaceliftNeck liftChin Augmentation / ReductionJaw Surgery (Orthognathic Surgery)Facial Contouring (V-line Surgery)Forehead AugmentationNoneOther
LiposuctionTummy Tuck (Abdominoplasty)Breast AugmentationBreast ReductionBreast LiftNeck liftFat Grafting (Face or Body)NoneOther
BotoxDermal FillersPDRNPRPThread LiftLaser Skin TreatmentSkin Tightening ProceduresSkin Consult/AnalysisStem CellBody ScrubPersonal Color AnalysisHyperbaric OxygenRed Light TherapyNoneOther
Hair TransplantScalp MicropigmentationScalp Analysis and HeadspaStem Cell Hair TreatmentNoneOther
Less than 1 month1-3 months3-6 months6+ months
Less than $10,000 USD$10,000-$15,000 USD$15,000-$20,000 USD$20,000+I want the best doctor for my procedure(s) and budget is not a considerationOther
Schedule 2 visits to S. Korea: 1 for in person consult and 1 for procedureSchedule 1 visit to S. Korea to have the consult 1 day and the procedure immediately after consultOther
Goals & Expectations - What are your primary goals for this contacting us?*
Goals & Expectations - What are your primary goals for this procedure?*
What concerns do you wish to discuss during your consultation? (Additionally, please disclose any health concerns)*
Please describe any support you have in place for in-country recovery. Or please indicate if you will need support immediately after procedures.*
Will you be able to manage your own transportation in S. Korea, or would you like for us to arrange that on your behalf? *
Will you be able to manage your own accommodations in S. Korea, or would you like for us to arrange that on your behalf? *
Please list all clinics and doctors you have already contacted, including the quotes received with a detailed breakdown of each procedure.*
How did you find us?*
Propose your preferred complimentary Zoom meeting times:
- Select 3 dates that work best for you.
- Indicate your available hours for each date.
- Let us know your time zone/city location during those dates.
- Early or late times are fine (we’re based in South Korea — so 1am NYC availability isn’t unusual!).
- It’s helpful to provide availability at least 12–24 hours before your first proposed time. If you’re hoping for sooner availability, please list it as one of your options and we’ll try to accommodate.
- We will confirm the exact Zoom time via WhatsApp
My City/Country/Time Zone*

Date   On this date I am available from (include hours available and am/pm).

Date   On this date I am available from (include hours available and am/pm).

Date   On this date I am available from (include hours available and am/pm).
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Client Intake & Meeting Scheduling

ON:JEONG