Sage Texas Medical Aesthetics Launch Package Application
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Do you need a medical director?
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Yes
No
Are you interested in training?
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Yes
No
Prices for Training
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Current member
New member pricing Activation Waived when joining Sage
Public Pricing/Stand Alone Training
Which training(s) are you interested in?
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Microneedling – $400
Dermaplaning – $400
Botox – $1250
Filler - $1250
RF Microneedling – $750
Ami Eyes - $500
Lipodissolve - $1000
Which training(s) are you interested in?
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Microneedling – $650
Dermaplaning – $650
Botox – $1500
Filler - $1500
RF Microneedling – $1000
Ami Eyes - $750
Lipodissolve - $1250
Which training(s) are you interested in?
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Microneedling – $800
Dermaplaning – $800
Botox – $2500
Filler - $2500
RF Microneedling – $1500
Ami Eyes - $1000
Lipodissolve - $2000
What training format do you prefer?
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Live Zoom Training
Private / On-Demand Training
Would you like early access to these trainings?
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Yes
No
Are there any additional training topics you would like to request?
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Current License / Credential (MA, RN, LVN, NP, PA, Esthetician, Dental Hygienist, Lab Tech, Other
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License Number (if applicable)
*
Years of Experience
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Less than 1 year
1–3 years
3–5 years
More than 5 years
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Current Work Setting
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MedSpa
Medical Office
Salon / Suite
Home-Based Studio
Not Currently Practicing
Other
Do you currently offer medical aesthetic services?
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Yes
No, preparing to launch
Not yet, planning
Where do you plan to practice?(Example: suite, spa, clinic, mobile, home studio, etc.)
*
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Target Launch Timeline
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ASAP (0–30 days)
1–3 months
3–6 months
Just exploring
Are you willing to follow medical protocols?
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Yes
No
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What Are You Applying For?
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Tier 1 MSO – $350/month + $500 Activation Fee Includes: Neurotoxin, Dermal Fillers, Microneedling, Dermaplaning, Med Peels, Body Contouring, HIFU
Tier 1 MSO – $399/month (No Activation Fee) Includes: Neurotoxin, Dermal Fillers, Microneedling, Dermaplaning, Med Peels, Body Contouring, HIFU
Tier 2 MSO – $600/month + $1000 Activation Fee Includes Tier 1 services plus: PRF, RF Microneedling, PDO Threads, Laser Facials, Sculptra, Ami Eyes, Lipodissolve, IV Hydration (RNs only)
Tier 2 MSO – $700/month (No Activation Fee) Includes Tier 1 services plus: PRF, RF Microneedling, PDO Threads, Laser Facials, Sculptra, Ami Eyes, Lipodissolve, IV Hydration (RNs only)
LHR/Laser/IPL Only $500/month + $1000 Activation Fee - Laser Hair Removal, Laser Tattoo removal, IPL Treatments
$250 Laser Add-On (No Activation Fee) - Laser Hair Removal, Laser Tattoo removal, IPL Treatments
Sage Strategy Call - 40 min/ $250
Merrow Beauty Professional Kit – $600
Merrow Beauty Wholesale Starter Pack Includes 24 organic, high-end professional retail skincare products developed and used by Deanna. Starter kits are shipped after payment is received and order confirmation is complete.
How do you plan to pay? (For those with activation only)
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Pay in Full
Split Payments (if approved)
Financing (Affirm
Not Sure Yet
No activation
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Required Setup & Onboarding All MSO memberships
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I understand and agree to the $350/month + $500 activation fee for Tier 1
I understand and agree to the $399 month for Tier 1 (No activation fee)
I understand and agree to the $600/month + $1000 activation fee for Tier 2
I understand and agree to the $700 month for Tier 2 (No activation fee
I understand and agree to the $500/month + $1000 activation Fee for LHR/ Laser Tattoo Removal/IPL Treatments Only
I understand and agree to the $250 Add-On (No Activation Fee) for LHR/Laser Tattoo Removal/IPL Treatments Only
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How did you hear about Sage? Name of the person who referred you, if any.
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I understand that acceptance into the Sage Launch Package is based on application review and is not guaranteed.
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I agree
Submit
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