Balance by Bita x Chicago New Patient Sign Up

Chicago New Patient Waitlist x Balance by Bita:

Thank you for your interest in facial balancing with Bita. Appointments begin August 2025. Submit your details below to be added to the waitlist and receive booking access as soon as exact dates become available.
Full Name*

First NameLast Name
Phone Number*
E-mail*
example@example.com
How did you hear about us?
Referral Credit: Were you referred by someone in our patient community? If so, enter their full name below. As a gesture of appreciation, both you and your referral will receive a special credit towards your treatment.
Have you had aesthetic treatments before?

YesNo
What concerns are you hoping to address? *
Please note:

If you’re reaching out after seeing the before-and-afters on my page, please know that those results are achieved by treating multiple areas of the face—never just one. This comprehensive approach is what allows the outcome to appear so natural and harmonious. Facial balancing typically begins at $2,500+, depending on your unique needs. To help you plan, we offer a complimentary photo review prior to booking, which gives you a general estimate and treatment overview. You’ll receive a text from us shortly with instructions to submit your photo for review.
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Chicago New Patient Waitlist x Balance by Bita: